NPI: 1033608328 · WINNEBAGO, NE 68071 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,871 | $444K |
| 2019 | 3,851 | $850K |
| 2020 | 2,424 | $508K |
| 2021 | 6,633 | $1.49M |
| 2022 | 7,367 | $1.82M |
| 2023 | 8,379 | $1.93M |
| 2024 | 18,087 | $3.19M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 25,609 | 17,771 | $10.04M |
| 99213 | 5,655 | 4,624 | $75K | |
| 99214 | 3,083 | 2,591 | $59K | |
| 99211 | 1,124 | 935 | $23K | |
| 99283 | 1,433 | 861 | $13K | |
| 36415 | 1,364 | 959 | $9K | |
| 99282 | 1,279 | 744 | $7K | |
| 85025 | 815 | 644 | $3K | |
| 99212 | 115 | 111 | $1K | |
| 99215 | Prolong outpt/office vis | 29 | 28 | $1K |
| 97161 | 26 | 26 | $750.48 | |
| 87633 | 178 | 108 | $719.00 | |
| 87389 | 134 | 88 | $719.00 | |
| 85014 | 138 | 131 | $640.00 | |
| 90471 | 972 | 815 | $393.76 | |
| 96365 | 91 | 12 | $129.60 | |
| 90472 | 477 | 308 | $106.77 | |
| 80053 | 480 | 350 | $102.13 | |
| 84443 | 94 | 81 | $67.64 | |
| 90688 | 26 | 26 | $65.60 | |
| 80061 | 35 | 29 | $53.87 | |
| 90686 | 190 | 168 | $11.02 | |
| 0002A | 280 | 256 | $0.00 | |
| 81003 | 283 | 227 | $0.00 | |
| V2020 | Vision svcs frames purchases | 131 | 115 | $0.00 |
| 87491 | 130 | 87 | $0.00 | |
| 92015 | 432 | 405 | $0.00 | |
| 91300 | 820 | 689 | $0.00 | |
| 90670 | 41 | 41 | $0.00 | |
| 87502 | 19 | 17 | $0.00 | |
| 81025 | 34 | 15 | $0.00 | |
| 0003A | 105 | 90 | $0.00 | |
| 92014 | 121 | 106 | $0.00 | |
| 86709 | 32 | 31 | $0.00 | |
| 99281 | 27 | 14 | $0.00 | |
| 99394 | 35 | 16 | $0.00 | |
| 92340 | 26 | 26 | $0.00 | |
| 0071A | 65 | 58 | $0.00 | |
| 99284 | 27 | 13 | $0.00 | |
| 83655 | 18 | 18 | $0.00 | |
| J7030 | Normal saline solution infus | 24 | 13 | $0.00 |
| 87634 | 16 | 13 | $0.00 | |
| 87631 | 18 | 13 | $0.00 | |
| D1351 | 424 | 99 | $0.00 | |
| D1208 | 175 | 166 | $0.00 | |
| 87661 | 116 | 77 | $0.00 | |
| 83735 | 67 | 40 | $0.00 | |
| 0001A | 294 | 272 | $0.00 | |
| 86780 | 100 | 55 | $0.00 | |
| 0072A | 77 | 76 | $0.00 | |
| 87591 | 130 | 87 | $0.00 | |
| 87651 | 152 | 111 | $0.00 | |
| 87635 | 87 | 75 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 14 | 12 | $0.00 |
| 82306 | 33 | 28 | $0.00 | |
| 83605 | 12 | 12 | $0.00 | |
| D0120 | 150 | 149 | $0.00 | |
| 85018 | 138 | 131 | $0.00 | |
| 91307 | 145 | 126 | $0.00 | |
| 83036 | 56 | 45 | $0.00 | |
| 86803 | 119 | 73 | $0.00 | |
| 96372 | 18 | 13 | $0.00 | |
| 92250 | 51 | 34 | $0.00 | |
| 90656 | 33 | 13 | $0.00 | |
| 90723 | 19 | 19 | $0.00 | |
| 90647 | 12 | 12 | $0.00 | |
| 82962 | 26 | 26 | $0.00 | |
| 86592 | 31 | 30 | $0.00 | |
| G0463 | Hospital outpt clinic visit | 38 | 38 | $0.00 |
| 86704 | 32 | 31 | $0.00 | |
| 87340 | 32 | 31 | $0.00 |