BRODSTONE MEMORIAL HOSPITAL
NPI: 1073590626
· SUPERIOR, NE 68978
· Family Medicine Physician
· NPI assigned 12/26/2005
$791K
Total Medicaid Paid
7,595
Beneficiary Records
Provider Details
| Authorized Official | VYZOUREK, TREG (CEO) |
| Parent Organization | BRODSTONE MEMORIAL HOSPITAL |
| NPI Enumeration Date | 12/26/2005 |
Related Entities
Other providers sharing the same authorized official: VYZOUREK, TREG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,156 |
$89K |
| 2019 |
1,239 |
$96K |
| 2020 |
888 |
$67K |
| 2021 |
1,142 |
$98K |
| 2022 |
1,397 |
$139K |
| 2023 |
1,496 |
$158K |
| 2024 |
1,180 |
$145K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,472 |
5,778 |
$577K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,981 |
1,774 |
$211K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
29 |
29 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
14 |
$2K |