Wagoner Medical Group PC

Wagoner Medical Group PC was paid $479.78 by Medicaid between Jan 2018 and Sep 2019, across 5 billing codes. Its largest line is 90961, — 69% of everything it billed.

33Billing provider infoWAGONER MEDICAL GROUP PC
GRAND ISLAND, NE 68803

33aNPI1013964162assigned 05/27/2006

33bProvider typeNephrology Physician

28Total paid$479.78

24GClaims107

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other Nephrology Physician providers in Nebraska

Rank by total paid#5 of 5

Median peer was paid$16K

This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	95	$448.14
2019	12	$31.64

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90961		69%	26	26	$330.56
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	17	14	$90.14
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	6.6%	37	37	$31.64
80069		4.5%	13	12	$21.44
36415	Collection of venous blood by venipuncture	1.3%	14	13	$6.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHUGHES, JODY (OFFICE MANAGER)