PRAIRIE FIELDS FAMILY MEDICINE, P.C.
NPI: 1114932860
· FREMONT, NE 68025
· 207Q00000X
$237K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,050 |
$124K |
| 2019 |
2,784 |
$113K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,444 |
3,069 |
$133K |
| 99214 |
|
1,885 |
1,682 |
$100K |
| 90471 |
|
92 |
92 |
$2K |
| 90688 |
|
64 |
64 |
$1K |
| 96372 |
|
108 |
84 |
$937.50 |
| 90686 |
|
125 |
124 |
$114.94 |
| G0008 |
Admin influenza virus vac |
116 |
115 |
$18.00 |