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.

East Central District Health Department (NPI 1982769014)

East Central District Health Department is a public health or welfare agency provider located in Columbus, Nebraska. This profile covers 0 Medicare and 17 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	East Central District Health Department
Address	4321 41st Ave
City	Columbus
State	NE
ZIP	68601
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	December 27, 2006

Payer Source	Total Paid
Medicaid	$256.4K
Medicare	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90716	The provider administers a live vaccine subcutaneously to protect against varicella infection.	670	$110	$70.9K
90707	This code represents an MMR vaccine product administered beneath the skin to protect against measles, mumps, and rubella (German measles).	610	$90	$53.3K
90746	This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a three–dose schedule.	720	$70	$49.1K
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	410	$40	$14.3K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	80	$140	$10.9K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	420	$30	$10.4K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	70	$130	$8.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	700	$10	$8.4K
90713	This code represents an IPV vaccine product administered beneath the skin or into the muscle to protect against poliomyelitis (polio). This is an inactivated, or killed, virus vaccine.	230	$40	$8K
90714	The provider administers a preservative free combination vaccine for diphtheria and tetanus toxoids intramuscularly to an individual older than seven years to prevent these diseases.	270	$30	$6.8K

Showing 1–10 of 17

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

East Central District Health Department — 0 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90746	This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a three–dose schedule.	2	10	300	$50	$20.6K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	159	210	110	$10	$19.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	7	20	310	$10	$17.6K
90707	This code represents an MMR vaccine product administered beneath the skin to protect against measles, mumps, and rubella (German measles).	5	30	50	$30	$12.7K
90716	The provider administers a live vaccine subcutaneously to protect against varicella infection.	5	30	80	$30	$12.5K
90713	This code represents an IPV vaccine product administered beneath the skin or into the muscle to protect against poliomyelitis (polio). This is an inactivated, or killed, virus vaccine.	4	10	120	$20	$11.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	12	120	90	$10	$10.7K
90633	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.	28	40	120	$10	$10.7K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	25	60	60	$30	$10.4K
90714	The provider administers a preservative free combination vaccine for diphtheria and tetanus toxoids intramuscularly to an individual older than seven years to prevent these diseases.	3	10	270	$20	$10.1K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Medical Transport Company LLC	NE	Ambulance	$20.7M	$30.1M
Columbus Community Hospital Inc	NE	General Acute Care Hospital	$0	$8.9M
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.7M
Behavioral Health Specialists, Inc Seekers Of Serenity Place	NE	Substance Abuse Rehabilitation Facility	$0	$4.1M
Cch Pediatric Clinic PC	NE	Pediatrics Physician	$0	$3.1M
Columbus Urgent Care LLC	NE	Urgent Care Clinic/Center	$0	$1.4M
Good Neighbor Community Health Center	NE	Public Health or Welfare Agency	$0	$1.1M
Columbus Physical Therapy, P.C.	NE	Physical Therapist	$0	$785K
Peter Diedrichsen	NE	Ophthalmology Physician	$749.8K	$0
Columbus Family Practice Associates, P.C.	NE	Family Medicine Physician	$0	$716.2K

East Central District Health Department — Billing Profile & Reimbursement Data

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East Central District Health Department — 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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References