NPI: 1164735759 · OMAHA, NE 68102 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,057 | $121K |
| 2019 | 957 | $115K |
| 2020 | 603 | $50K |
| 2021 | 435 | $38K |
| 2022 | 730 | $73K |
| 2023 | 1,095 | $88K |
| 2024 | 1,015 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,575 | 1,352 | $258K | |
| T1015 | Clinic service | 830 | 794 | $127K |
| 99212 | 445 | 427 | $78K | |
| 99214 | 459 | 424 | $75K | |
| 90686 | 736 | 727 | $8K | |
| 99394 | 172 | 170 | $7K | |
| 99177 | 591 | 585 | $5K | |
| 99393 | 90 | 89 | $3K | |
| 87426 | 90 | 84 | $3K | |
| 87880 | 164 | 160 | $2K | |
| 87428 | 47 | 46 | $1K | |
| 99211 | 45 | 28 | $814.05 | |
| 99173 | 393 | 392 | $804.02 | |
| 90651 | 63 | 62 | $655.20 | |
| 90656 | 60 | 60 | $622.44 | |
| 0071A | 14 | 14 | $521.50 | |
| 87804 | 18 | 17 | $297.68 | |
| 85018 | 70 | 70 | $151.65 | |
| 90715 | 12 | 12 | $131.04 | |
| 83655 | 18 | 18 | $121.10 |