NPI: 1154895225 · OMAHA, NE 68111 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 171 | $31K |
| 2020 | 1,217 | $133K |
| 2021 | 14,085 | $703K |
| 2022 | 9,015 | $585K |
| 2023 | 7,115 | $705K |
| 2024 | 7,753 | $579K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 9,643 | 5,557 | $1.33M |
| 99213 | 3,088 | 2,910 | $600K | |
| 99214 | 2,543 | 2,466 | $537K | |
| 90837 | 451 | 265 | $68K | |
| 99392 | 279 | 278 | $41K | |
| 99203 | 199 | 196 | $39K | |
| 99393 | 174 | 173 | $32K | |
| D1999 | 3,386 | 3,115 | $29K | |
| 99204 | 59 | 57 | $12K | |
| 99212 | 44 | 41 | $9K | |
| D2930 | 82 | 24 | $8K | |
| 99391 | 26 | 25 | $6K | |
| 90834 | 29 | 13 | $5K | |
| 99202 | 27 | 26 | $5K | |
| 36415 | 381 | 356 | $4K | |
| 99215 | Prolong outpt/office vis | 16 | 13 | $3K |
| 90686 | 243 | 241 | $3K | |
| D1120 | 1,793 | 1,772 | $1K | |
| D1206 | 2,840 | 2,799 | $1K | |
| 92552 | 38 | 35 | $1K | |
| D0150 | 647 | 640 | $774.33 | |
| 83655 | 53 | 53 | $595.92 | |
| 85018 | 237 | 236 | $522.24 | |
| D1351 | 475 | 149 | $442.63 | |
| 36416 | 141 | 126 | $381.69 | |
| D0120 | 1,514 | 1,489 | $380.34 | |
| 99173 | 43 | 43 | $253.99 | |
| D1110 | 167 | 163 | $242.31 | |
| D2391 | 80 | 44 | $219.20 | |
| D0140 | 93 | 89 | $158.66 | |
| D2392 | 126 | 85 | $152.18 | |
| D0220 | 1,686 | 1,663 | $147.30 | |
| D0330 | 412 | 408 | $134.15 | |
| D0230 | 4,992 | 1,412 | $66.67 | |
| D7140 | 107 | 50 | $56.29 | |
| D0240 | 801 | 409 | $50.34 | |
| D0272 | 829 | 821 | $33.56 | |
| D0145 | 238 | 238 | $28.25 | |
| D0274 | 912 | 902 | $27.03 | |
| 3008F | 344 | 326 | $0.29 | |
| D0999 | 44 | 36 | $0.00 | |
| 3077F | 13 | 13 | $0.00 | |
| D9230 | 61 | 54 | $0.00 |