NPI: 1043251754 · SOUTH SIOUX CITY, NE 68776 · 363AM0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,622 | $110K |
| 2019 | 3,061 | $130K |
| 2020 | 3,005 | $116K |
| 2021 | 4,866 | $186K |
| 2022 | 5,934 | $238K |
| 2023 | 5,125 | $190K |
| 2024 | 2,515 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 8,709 | 7,826 | $411K | |
| 99214 | 6,644 | 5,932 | $394K | |
| 99391 | 1,927 | 1,525 | $136K | |
| 99392 | 393 | 387 | $34K | |
| 87880 | 2,224 | 2,017 | $30K | |
| 87804 | 900 | 816 | $21K | |
| 36415 | 4,376 | 3,921 | $11K | |
| 87811 | 313 | 293 | $11K | |
| 99394 | 35 | 32 | $3K | |
| 83036 | 388 | 349 | $3K | |
| 99393 | 27 | 27 | $2K | |
| 90471 | 243 | 227 | $1K | |
| 90472 | 142 | 131 | $1K | |
| 99460 | 14 | 12 | $1K | |
| 71046 | 45 | 44 | $986.73 | |
| 87807 | 61 | 57 | $769.59 | |
| 99308 | 12 | 12 | $274.34 | |
| G2211 | Complex e/m visit add on | 68 | 57 | $248.90 |
| 81003 | 148 | 124 | $171.37 | |
| 90686 | 105 | 100 | $153.09 | |
| 90473 | 12 | 12 | $105.00 | |
| 96372 | 31 | 24 | $83.72 | |
| 90698 | 103 | 100 | $50.56 | |
| 90670 | 145 | 135 | $30.74 | |
| 90744 | 24 | 24 | $19.82 | |
| 90680 | 26 | 25 | $0.00 | |
| 90656 | 13 | 13 | $0.00 |