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.

Ent Physicians Of Kearney, P.C. (NPI 1992795629)

Ent Physicians Of Kearney, P.C. is a otolaryngology physician provider located in Kearney, Nebraska. This profile covers 0 Medicare and 14 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	Ent Physicians Of Kearney, P.C.
Address	615 West 39th Street
City	Kearney
State	NE
ZIP	68845
Taxonomy	Otolaryngology Physician
NPI Enumerated	October 25, 2005

Payer Source	Total Paid
Medicaid	$301.9K
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	4,360	$30	$139.5K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	1,350	$50	$72.7K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	80	$290	$22.6K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	610	$40	$22.5K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	2,060	$10	$20.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	90	$80	$7.1K
V5266	Battery for use in hearing device	190	$30	$6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	110	$60	$5.9K
92579	The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys.	80	$30	$2.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	80	$20	$1.7K

Showing 1–10 of 14

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

Ent Physicians Of Kearney, P.C. — 0 of 13 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	14	20	240	$900	$448.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	141	700	660	$70	$305.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	454	600	610	$70	$251.4K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	24	190	130	$70	$48.5K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	77	130	130	$90	$43.8K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	5	20	480	$20	$32.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	158	250	140	$60	$29.7K
92579	The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys.	2	10	80	$50	$22K
92555	The provider measures a patient’s speech reception/awareness threshold (the lowest volume at which the patient can recognize speech).	3	10	30	$50	$14.6K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	4	20	60	$50	$14.2K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Klinginsmith	NE	Otolaryngology Physician	$55K	$0
Megan Wilson	NE	Physician Assistant	$39.5K	$0
Sarah Guthard	NE	Physician Assistant	$28.5K	$0
Emma Wilken	NE	Audiologist	$9.2K	$0
Adrienne Thomalla	NE	Audiologist	$8.7K	$0
Autumn Ambler	NE	Speech-Language Pathologist	$6.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kearney Pediatric Dentistry, L.L.C.	NE	Pediatric Dentistry	$0	$4.5M
Family Physical Therapy & Sports Center	NE	Physical Therapist	$0	$3.9M
Family Practice Associates P.C.	NE	Family Medicine Physician	$0	$2M
Kearney Regional Medical Center LLC	NE	General Acute Care Hospital	$0	$1.8M
Midwest Encouragement & Counseling Center LLC	NE	Community/Behavioral Health Agency	$0	$1.6M
Bryan Hospital Kearney	NE	General Acute Care Hospital	$0	$1.4M
Kearney Eye Surgical Center, Inc.	NE	Ambulatory Surgical Clinic/Center	$1.3M	$0
Center For Psychological Services PC	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.1M
Bryan Hospital Kearney	NE	Family Medicine Physician	$0	$1M
Kearney Ambulatory Surgical Center, LLC	NE	Ambulatory Surgical Clinic/Center	$879.1K	$80.5K

Ent Physicians Of Kearney, P.C. — 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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