NPI: 1164677126 · GRAND ISLAND, NE 68803 · 363AM0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,706 | $8K |
| 2019 | 2,778 | $19K |
| 2020 | 1,704 | $10K |
| 2021 | 1,255 | $7K |
| 2022 | 2,967 | $14K |
| 2023 | 3,544 | $27K |
| 2024 | 4,192 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 71046 | 5,808 | 5,556 | $32K | |
| 77067 | 1,338 | 1,311 | $28K | |
| 77063 | 845 | 826 | $18K | |
| 76805 | 358 | 351 | $16K | |
| 74177 | 301 | 287 | $13K | |
| 71045 | 2,772 | 2,574 | $12K | |
| 76815 | 427 | 392 | $11K | |
| 73721 | 182 | 177 | $8K | |
| 70450 | 228 | 216 | $4K | |
| 72148 | 12 | 12 | $461.49 | |
| 74018 | 84 | 80 | $459.22 | |
| 72100 | 73 | 71 | $413.07 | |
| 73630 | 93 | 84 | $407.86 | |
| 76705 | 18 | 16 | $322.11 | |
| 74019 | 41 | 40 | $316.75 | |
| 76856 | 14 | 13 | $255.02 | |
| 74176 | 17 | 15 | $229.99 | |
| 73610 | 27 | 26 | $169.44 | |
| 73110 | 27 | 26 | $137.37 | |
| 73030 | 28 | 27 | $91.25 | |
| 73130 | 13 | 12 | $73.63 | |
| 77080 | 13 | 13 | $47.41 | |
| G9637 | Doc >1 dose reduc tech | 14 | 13 | $0.00 |
| 7025F | 17 | 16 | $0.00 | |
| G9638 | No doc >1 dose reduc tech | 5,396 | 4,580 | $0.00 |