Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nebraska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nebraska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nebraska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Regional West Medical Center (NPI 1982718219)

Regional West Medical Center is a emergency medicine physician provider located in Scottsbluff, Nebraska. This profile covers 0 Medicare and 16 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Regional West Medical Center
Address	4021 Avenue B
City	Scottsbluff
State	NE
ZIP	69361
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	13,410	$70	$871.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	10,420	$60	$583.3K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	1,620	$90	$143.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,300	$40	$115.4K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	200	$90	$17K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	390	$10	$5.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	160	$30	$3.9K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	130	$10	$1.7K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	40	$40	$1.3K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	40	$30	$880

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nebraska Distribution

Regional West Medical Center — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	17	110	770	$110	$774.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	23	140	1,100	$110	$607.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	26	80	300	$120	$519.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	36	50	820	$160	$461.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	36	50	830	$90	$269K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	30	30	1,720	$10	$158.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	15	90	600	$90	$156.8K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	24	30	250	$150	$114.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	41	80	390	$10	$75.3K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	14	10	90	$120	$59.7K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional West Medical Center	NE	General Acute Care Hospital	$0	$15.1M
Regional West Medical Center	NE	Home Health Agency	$0	$1.4M
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Thomas Sullivan	NC	Diagnostic Radiology Physician	$18.9K	$393.7K
Eric Rodriguez	AZ	Diagnostic Radiology Physician	$406.8K	$0
Rachel Nelson	TN	Diagnostic Radiology Physician	$383.2K	$0
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Regional West Medical Center	WY	Clinical Medical Laboratory	$256.1K	$62.6K
Mark Hartman	NE	Radiation Oncology Physician	$287.2K	$0
Travis Petree	ND	Diagnostic Radiology Physician	$275.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional West Physicians Clinic	NE	Family Medicine Physician	$0	$9M
Pediatric Dentistry Of Nebraska	NE	Pediatric Dentistry	$0	$3.6M
Med-trans Corporation	NE	Air Ambulance	$1.5M	$8.9K
Valley Ambulance Services, Inc	NE	Ambulance	$558K	$868.6K
Options In Psychology LLC	NE	Psychologist	$0	$1.2M
Webb Orthodontics, LLP	NE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.2M
Quick Care Medical Services Inc	NE	Urgent Care Clinic/Center	$0	$1.1M
Renal Treatment Centers West Inc	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Complete Care Family Practice	NE	Family Medicine Physician	$0	$1M
Lincare Inc.	NE	Durable Medical Equipment & Medical Supplies	$0	$794.1K

Regional West Medical Center — Billing Profile & Reimbursement Data

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Regional West Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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