Physician
Plum Creek Medical Group, P.C.
Plum Creek Medical Group, P.C. was paid $2.50M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoPLUM CREEK MEDICAL GROUP, P.C.
LEXINGTON, NE 68850
LEXINGTON, NE 68850
33aNPI1104868496assigned 06/12/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.50M
24GClaims32,430
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Nebraska
Rank by total paid#9 of 121
Median peer was paid$156K
This provider vs. median16×
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 | 4,947 | $359K | |
| 2019 | 5,456 | $405K | |
| 2020 | 3,722 | $264K | |
| 2021 | 4,947 | $425K | |
| 2022 | 5,832 | $480K | |
| 2023 | 3,981 | $290K | |
| 2024incomplete | 3,545 | $281K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 71% | 22,541 | 17,372 | $1.77M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 6,196 | 5,293 | $389K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.5% | 1,579 | 876 | $239K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.6% | 773 | 393 | $64K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 151 | 141 | $13K |
| 90686 | <1% | 642 | 628 | $9K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 87 | 77 | $9K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 14 | 14 | $2K |
| 96127 | <1% | 45 | 45 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 272 | 219 | $1K |
| 90682 | <1% | 56 | 52 | $1K | |
| 0001A | <1% | 26 | 25 | $663.58 |
3 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | $124.32 |
| 90656 | <1% | 14 | $109.20 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 15 | $17.44 |
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 officialNAEVE, JAMES (ADMINISTRATOR)