NPI: 1306910534 · SCOTTSBLUFF, NE 69361 · 103TC0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24,113 | $1.26M |
| 2019 | 23,745 | $1.17M |
| 2020 | 22,263 | $1.10M |
| 2021 | 31,835 | $1.44M |
| 2022 | 34,173 | $1.49M |
| 2023 | 32,058 | $1.47M |
| 2024 | 23,696 | $1.04M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 59,477 | 54,187 | $3.25M | |
| 99213 | 59,013 | 55,527 | $2.62M | |
| 99391 | 8,346 | 7,617 | $662K | |
| 99392 | 5,579 | 5,462 | $491K | |
| 90837 | 1,651 | 821 | $201K | |
| 90834 | 1,796 | 977 | $174K | |
| 76816 | 1,393 | 1,271 | $119K | |
| 99393 | 1,239 | 1,223 | $113K | |
| 90792 | 542 | 519 | $105K | |
| 99203 | 1,892 | 1,830 | $102K | |
| 99232 | 5,192 | 1,686 | $97K | |
| 87428 | 2,075 | 2,012 | $66K | |
| 93970 | 1,365 | 1,172 | $63K | |
| 90670 | 4,108 | 4,036 | $60K | |
| 43239 | 800 | 754 | $57K | |
| 87880 | 4,021 | 3,934 | $57K | |
| 90847 | 628 | 340 | $53K | |
| 90686 | 3,645 | 3,589 | $51K | |
| 99394 | 459 | 453 | $44K | |
| 92557 | 1,122 | 1,072 | $40K | |
| 90723 | 2,814 | 2,777 | $40K | |
| 90647 | 2,679 | 2,631 | $38K | |
| 99215 | Prolong outpt/office vis | 622 | 571 | $35K |
| 90680 | 2,317 | 2,292 | $33K | |
| 87426 | 1,121 | 1,088 | $32K | |
| 99212 | 1,545 | 1,457 | $31K | |
| 99223 | Prolong inpt eval add15 m | 508 | 460 | $24K |
| 87804 | 861 | 848 | $23K | |
| 99233 | Prolong inpt eval add15 m | 716 | 266 | $21K |
| J0585 | Injection,onabotulinumtoxina | 69 | 39 | $18K |
| 59400 | 12 | 12 | $17K | |
| 90961 | 766 | 698 | $16K | |
| 99238 | 391 | 367 | $16K | |
| 99239 | 267 | 249 | $15K | |
| 90633 | 988 | 965 | $15K | |
| 45380 | 99 | 95 | $14K | |
| 99308 | 714 | 640 | $13K | |
| 96372 | 1,207 | 991 | $12K | |
| 76805 | 92 | 89 | $11K | |
| 92550 | 840 | 801 | $10K | |
| 96110 | 592 | 571 | $8K | |
| 99205 | Prolong outpt/office vis | 72 | 71 | $7K |
| 99395 | 85 | 77 | $7K | |
| 99460 | 84 | 77 | $7K | |
| 95886 | 115 | 114 | $7K | |
| 95251 | 414 | 371 | $6K | |
| 99202 | 140 | 134 | $6K | |
| 51798 | 972 | 860 | $5K | |
| 99204 | 80 | 73 | $5K | |
| 90471 | 451 | 409 | $5K | |
| 99309 | 247 | 228 | $5K | |
| 90832 | 53 | 31 | $4K | |
| 17110 | 125 | 108 | $4K | |
| 90677 | 385 | 366 | $4K | |
| 90960 | 186 | 183 | $4K | |
| 76819 | 39 | 25 | $3K | |
| 93971 | 52 | 46 | $2K | |
| 90791 | 15 | 15 | $2K | |
| 83036 | 530 | 473 | $2K | |
| 96127 | 188 | 178 | $2K | |
| 71046 | 84 | 80 | $2K | |
| 43999 | 269 | 219 | $2K | |
| 87807 | 173 | 156 | $2K | |
| 81003 | 1,499 | 1,318 | $1K | |
| Q3014 | Telehealth facility fee | 524 | 491 | $1K |
| 90656 | 127 | 114 | $1K | |
| 76830 | 12 | 12 | $1K | |
| 90651 | 67 | 67 | $997.57 | |
| J3490 | Drugs unclassified injection | 13 | 12 | $972.00 |
| 99222 | 15 | 14 | $963.15 | |
| 90962 | 61 | 56 | $913.02 | |
| 90696 | 55 | 55 | $797.56 | |
| 90710 | 52 | 52 | $767.58 | |
| 90715 | 45 | 45 | $523.75 | |
| G2211 | Complex e/m visit add on | 221 | 187 | $498.53 |
| 99211 | 27 | 26 | $466.72 | |
| 90734 | 41 | 41 | $439.11 | |
| 90700 | 36 | 36 | $438.44 | |
| 90707 | 38 | 38 | $423.48 | |
| 99358 | Prolong nursin fac eval 15m | 77 | 71 | $373.80 |
| 92552 | 26 | 25 | $373.10 | |
| 90716 | 25 | 25 | $368.88 | |
| 92567 | 30 | 29 | $346.13 | |
| 92570 | 26 | 25 | $336.61 | |
| 99221 | 15 | 14 | $329.36 | |
| 99406 | 38 | 35 | $308.91 | |
| 92555 | 26 | 25 | $266.50 | |
| 90649 | 12 | 12 | $220.04 | |
| 81025 | 14 | 14 | $120.54 | |
| J3420 | Vitamin b12 injection | 182 | 165 | $120.18 |
| 36415 | 14 | 14 | $108.99 | |
| 95816 | 19 | 16 | $85.20 | |
| 87210 | 12 | 12 | $40.74 | |
| 90785 | 118 | 86 | $27.16 | |
| 90970 | 21 | 17 | $16.32 | |
| G0008 | Admin influenza virus vac | 26 | 24 | $5.95 |
| 90460 | 47 | 46 | $0.00 |