Regional West Physicians Clinic
Regional West Physicians Clinic was paid $8.98M by Medicaid between Jan 2018 and Dec 2024, across 97 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
SCOTTSBLUFF, NE 69361
Next to other Clinical Psychologist providers in Nebraska
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 23,696 | $1.04M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 36% | 59,477 | 54,187 | $3.25M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 59,013 | 55,527 | $2.62M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 8,346 | 7,617 | $662K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 5,579 | 5,462 | $491K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.2% | 1,651 | 821 | $201K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 1,796 | 977 | $174K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.3% | 1,393 | 1,271 | $119K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 1,239 | 1,223 | $113K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.2% | 542 | 519 | $105K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 1,892 | 1,830 | $102K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 5,192 | 1,686 | $97K |
| 87428 | <1% | 2,075 | 2,012 | $66K |
85 more codes
| 93970 | <1% | 1,365 | $63K | |
| 90670 | <1% | 4,108 | $60K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 800 | $57K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,021 | $57K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 628 | $53K |
| 90686 | <1% | 3,645 | $51K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 459 | $44K |
| 92557 | <1% | 1,122 | $40K | |
| 90723 | <1% | 2,814 | $40K | |
| 90647 | <1% | 2,679 | $38K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 622 | $35K |
| 90680 | <1% | 2,317 | $33K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,121 | $32K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,545 | $31K |
| 99223 | Prolong inpt eval add15 m | <1% | 508 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 861 | $23K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 716 | $21K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 69 | $18K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 12 | $17K |
| 90961 | <1% | 766 | $16K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 391 | $16K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 267 | $15K |
| 90633 | <1% | 988 | $15K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 99 | $14K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 714 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,207 | $12K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 92 | $11K |
| 92550 | <1% | 840 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 592 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 72 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 85 | $7K |
| 99460 | <1% | 84 | $7K | |
| 95886 | <1% | 115 | $7K | |
| 95251 | <1% | 414 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 140 | $6K |
| 51798 | <1% | 972 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 80 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 451 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 247 | $5K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 53 | $4K |
| 17110 | <1% | 125 | $4K | |
| 90677 | <1% | 385 | $4K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 186 | $4K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 39 | $3K |
| 93971 | <1% | 52 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 15 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 530 | $2K |
| 96127 | <1% | 188 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 84 | $2K |
| 43999 | <1% | 269 | $2K | |
| 87807 | <1% | 173 | $2K | |
| 81003 | <1% | 1,499 | $1K | |
| Q3014 | Telehealth originating site facility fee | <1% | 524 | $1K |
| 90656 | <1% | 127 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $1K |
| 90651 | <1% | 67 | $997.57 | |
| J3490 | Unclassified drugs | <1% | 13 | $972.00 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | $963.15 |
| 90962 | <1% | 61 | $913.02 | |
| 90696 | <1% | 55 | $797.56 | |
| 90710 | <1% | 52 | $767.58 | |
| 90715 | <1% | 45 | $523.75 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 221 | $498.53 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 27 | $466.72 |
| 90734 | <1% | 41 | $439.11 | |
| 90700 | <1% | 36 | $438.44 | |
| 90707 | <1% | 38 | $423.48 | |
| 99358 | Prolong nursin fac eval 15m | <1% | 77 | $373.80 |
| 92552 | <1% | 26 | $373.10 | |
| 90716 | <1% | 25 | $368.88 | |
| 92567 | <1% | 30 | $346.13 | |
| 92570 | <1% | 26 | $336.61 | |
| 99221 | <1% | 15 | $329.36 | |
| 99406 | <1% | 38 | $308.91 | |
| 92555 | <1% | 26 | $266.50 | |
| 90649 | <1% | 12 | $220.04 | |
| 81025 | <1% | 14 | $120.54 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 182 | $120.18 |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $108.99 |
| 95816 | <1% | 19 | $85.20 | |
| 87210 | <1% | 12 | $40.74 | |
| 90785 | <1% | 118 | $27.16 | |
| 90970 | <1% | 21 | $16.32 | |
| G0008 | Administration of influenza virus vaccine | <1% | 26 | $5.95 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 47 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Regional West Medical Center | Scottsbluff, NE | $15.11M |
| Regional West Medical Center | Scottsbluff, NE | $1.75M |
| Regional West Medical Center | Scottsbluff, NE | $1.41M |
| Regional West Medical Center | Cheyenne, WY | $63K |
| Sterling Regional Medcenter | Sterling, CO | $10K |
| Regional West Medical Center | Denison, IA | $7K |
| Regional West Physicians Clinic | Morrill, NE | $6K |
| Regional West Medical Center | Casper, WY | $5K |
| Regional West Medical Center | Norfolk, NE | $1K |
| Regional West Medical Center | Ida Grove, IA | $1K |
| Regional West Medical Center | Rapid City, SD | $815.11 |
| Regional West Medical Center | Scottsbluff, NE | $671.14 |
| Regional West Medical Center | Council Bluffs, IA | $27.70 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.