NPI: 1275954299 · GRAND ISLAND, NE 68803 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,230 | $437K |
| 2019 | 3,229 | $431K |
| 2020 | 3,487 | $493K |
| 2021 | 11,180 | $1.14M |
| 2022 | 14,291 | $1.30M |
| 2023 | 18,624 | $1.94M |
| 2024 | 28,636 | $3.02M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 18,441 | 15,239 | $5.08M |
| 99213 | 10,936 | 9,891 | $2.20M | |
| 99214 | 4,690 | 4,362 | $912K | |
| 90832 | 315 | 157 | $70K | |
| 99203 | 285 | 281 | $57K | |
| 99204 | 230 | 221 | $47K | |
| 99393 | 266 | 260 | $40K | |
| 99212 | 299 | 279 | $37K | |
| 36415 | 3,593 | 3,259 | $34K | |
| 90834 | 436 | 262 | $29K | |
| 99394 | 192 | 190 | $22K | |
| 99392 | 149 | 144 | $21K | |
| 82962 | 1,386 | 1,309 | $17K | |
| 99202 | 100 | 96 | $17K | |
| D1999 | 1,837 | 1,358 | $16K | |
| 99177 | 1,913 | 1,790 | $16K | |
| 3008F | 7,101 | 6,559 | $15K | |
| 90837 | 65 | 40 | $15K | |
| 90686 | 958 | 934 | $14K | |
| G0467 | Fqhc visit, estab pt | 318 | 260 | $12K |
| 83036 | 2,550 | 2,426 | $12K | |
| 87637 | 227 | 221 | $9K | |
| 85018 | 2,938 | 2,796 | $9K | |
| 80061 | 859 | 820 | $6K | |
| 99383 | 40 | 40 | $6K | |
| 81003 | 1,107 | 1,000 | $6K | |
| 0011A | 49 | 37 | $5K | |
| 0002A | 33 | 33 | $5K | |
| 90791 | 27 | 26 | $5K | |
| 0001A | 40 | 40 | $4K | |
| 0012A | 31 | 31 | $4K | |
| 92552 | 823 | 794 | $4K | |
| 99188 | 256 | 249 | $3K | |
| 82948 | 207 | 169 | $3K | |
| 83655 | 421 | 407 | $2K | |
| 81002 | 614 | 557 | $2K | |
| 36416 | 41 | 40 | $2K | |
| 3078F | 702 | 646 | $2K | |
| 0031A | 12 | 12 | $2K | |
| 3079F | 828 | 778 | $1K | |
| 91322 | 12 | 12 | $1K | |
| 81025 | 69 | 61 | $1K | |
| 3074F | 766 | 711 | $994.29 | |
| D2392 | 704 | 497 | $975.08 | |
| 87651 | 47 | 46 | $950.03 | |
| 87635 | 38 | 38 | $855.85 | |
| D1120 | 1,812 | 1,795 | $777.62 | |
| 87804 | 27 | 27 | $750.16 | |
| D1206 | 2,592 | 2,570 | $710.26 | |
| D0120 | 1,211 | 1,197 | $525.00 | |
| 90633 | 55 | 54 | $491.45 | |
| 90656 | 48 | 46 | $491.40 | |
| 90480 | 12 | 12 | $463.32 | |
| 0003A | 33 | 31 | $335.25 | |
| 3075F | 221 | 207 | $318.83 | |
| D2391 | 255 | 202 | $314.79 | |
| D0274 | 1,463 | 1,452 | $311.61 | |
| D0150 | 1,154 | 1,147 | $281.97 | |
| 90651 | 64 | 61 | $273.00 | |
| D9230 | 255 | 235 | $215.44 | |
| 3077F | 597 | 558 | $203.18 | |
| D0330 | 925 | 919 | $197.92 | |
| D0140 | 942 | 916 | $138.92 | |
| D1110 | 523 | 522 | $123.01 | |
| 90710 | 13 | 13 | $109.20 | |
| 90471 | 202 | 199 | $81.20 | |
| D0220 | 1,106 | 1,075 | $66.01 | |
| 80053 | 14 | 12 | $31.68 | |
| 90472 | 38 | 38 | $17.40 | |
| D0210 | 43 | 43 | $0.00 | |
| D7140 | 211 | 115 | $0.00 | |
| D0603 | 450 | 450 | $0.00 | |
| D0999 | 472 | 385 | $0.00 | |
| 3080F | 120 | 115 | $0.00 | |
| D1351 | 417 | 152 | $0.00 | |
| D2393 | 28 | 26 | $0.00 | |
| D0602 | 29 | 29 | $0.00 | |
| 3044F | 15 | 15 | $0.00 | |
| D0145 | 85 | 84 | $0.00 | |
| 3046F | 83 | 82 | $0.00 | |
| D1354 | 175 | 85 | $0.00 | |
| D2930 | 21 | 13 | $0.00 | |
| 0071A | 15 | 12 | $0.00 |