WAGONER MEDICAL GROUP PC
NPI: 1013964162
· GRAND ISLAND, NE 68803
· 207RN0300X
$479.78
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
95 |
$448.14 |
| 2019 |
12 |
$31.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90961 |
|
26 |
26 |
$330.56 |
| 99213 |
|
17 |
14 |
$90.14 |
| 90960 |
|
37 |
37 |
$31.64 |
| 80069 |
|
13 |
12 |
$21.44 |
| 36415 |
|
14 |
13 |
$6.00 |