NEVVI Medicare utilization intelligence

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HOWARD COUNTY MEDICAL CENTER

PAC 5698775849 Physician group
FAMILY PRACTICE · SAINT PAUL, NE · hospital-affiliated
Specialty FAMILY PRACTICE — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in SAINT PAUL, NE · bills Medicare in 1 state (NE)
Scale 28 providers on the CMS registry roster · 29 codes billed (five-year data window) · 557 services (all billed codes, CY2024)
Medicare paid $25K · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (308) 754-4421 — CMS registry listing
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 14Advanced-practice 4Other clinicians 0= 18 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 18 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 8 of the group's 29 codes this year, across 1 state (CY2024).

The full analytics for this group

Premium

The billed-volume rank, trajectory, and economics behind this group — computed on the same disclosed Medicare Part B data.

What Medicare paid this group in CY2024 is on the group's identity card — free, on every tier. Premium breaks that figure down per code and per service, and puts the volume behind it in national and peer context.

  • Per-code payment breakdown & avg $/service — dollars behind the volume
  • Beneficiary-episode volume — reach, not just service counts
  • Office vs. facility setting mix — place-of-service code split
  • National billed-volume rank — percentile, cohort & year disclosed
  • Size-peer billed-volume benchmark — vs. groups of similar size
  • Top-3 clinician share — how volume distributes
  • 5-year volume trend — direction across the window
  • Business mix — largest codes by payment

Rank and benchmark figures are billed-volume positions among peers, not measures of care. All figures attributed (single-group clinicians) and disclosed Medicare Part B fee-for-service.

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Medicare Part B FFS · CY2024 · as published by CMS
Data year: CY2024 CY2023 CY2022  CY2021  CY2020 

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes)
1366822777 Rensch, Adam M.D. Family Practice Saint PaulNE
1063451888 Brennan, Angela MD Family Practice Saint PaulNE
1821311853 Nielsen, Marcus PA Physician Assistant Saint PaulNE
1043633506 Hahn, Neal PA-C Physician Assistant Saint PaulNE
1134105463 Kramer, Jared MD Family Practice St PaulNE
1558347849 Tomhave, Christopher MD Family Practice Saint PaulNE
1972959823 Hahn, Kaitlin M.D. Family Practice Saint PaulNE
1013161082 Birthi, Pravardhan · member of 2 groups M.D. Pain Management Grand IslandNE
1356363691 Cook, Vanessa · member of 3 groups M.D. Family Practice ManhattanKS
1356357149 Fennessy, Thomas · member of 2 groups MD Family Practice NorfolkNE
1407394935 Leiting, Jennifer · member of 2 groups APRN Nurse Practitioner BenkelmanNE
1922015643 Mednick, Adam · member of 3 groups MD PHD Neurology VincennesIN
1871858548 Patel, Akash · member of 7 groups M.D Internal Medicine Oklahoma CityOK
1831727825 Perry, Steven · member of 4 groups MD Family Practice Ville PlatteLA
1174570311 Ramaswamy, Sriram · member of 4 groups MD Psychiatry OmahaNE
1629471081 Reifschneider, Scott · member of 2 groups PA Physician Assistant Saint PaulNE
1467444588 Saxena, Kavir · member of 5 groups MD Psychiatry HastingsNE
1578504528 Shirley, Mark · member of 2 groups D.O. Family Practice BlairNE

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.