NPI: 1184194557 · LINCOLN, NE 68521 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,216 | $674K |
| 2020 | 3,254 | $548K |
| 2021 | 8,083 | $1.09M |
| 2022 | 11,148 | $1.62M |
| 2023 | 9,893 | $1.46M |
| 2024 | 7,800 | $1.38M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 29,205 | 26,254 | $5.13M | |
| 99214 | 4,688 | 4,398 | $809K | |
| 99392 | 755 | 741 | $157K | |
| 99391 | 737 | 668 | $154K | |
| 99393 | 576 | 526 | $111K | |
| 99394 | 290 | 270 | $55K | |
| 99177 | 611 | 574 | $48K | |
| 99203 | 217 | 216 | $43K | |
| G0467 | Fqhc visit, estab pt | 1,282 | 1,077 | $38K |
| 92551 | 602 | 517 | $35K | |
| 99395 | 192 | 190 | $32K | |
| 99396 | 159 | 158 | $31K | |
| 99212 | 147 | 140 | $29K | |
| T1015 | Clinic service | 1,963 | 1,904 | $27K |
| 99173 | 375 | 355 | $21K | |
| 99215 | Prolong outpt/office vis | 99 | 85 | $20K |
| 99188 | 99 | 96 | $15K | |
| 99202 | 65 | 65 | $12K | |
| 90686 | 155 | 155 | $3K | |
| 90723 | 18 | 18 | $3K | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 20 | 19 | $1K |
| 93000 | 13 | 13 | $1K | |
| 90633 | 16 | 16 | $622.53 | |
| 90707 | 14 | 14 | $415.02 | |
| 90832 | 16 | 16 | $346.29 | |
| 90670 | 23 | 23 | $229.35 | |
| 90716 | 12 | 12 | $207.51 | |
| 36416 | 1,757 | 1,684 | $68.00 | |
| 90648 | 19 | 19 | $21.84 | |
| 90471 | 192 | 189 | $0.05 | |
| 90472 | 63 | 63 | $0.04 | |
| 90687 | 14 | 14 | $0.00 |