NPI: 1316357676 · OMAHA, NE 68106 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,565 | $86K |
| 2019 | 2,592 | $107K |
| 2020 | 2,082 | $79K |
| 2021 | 5,928 | $215K |
| 2022 | 6,006 | $268K |
| 2023 | 5,784 | $274K |
| 2024 | 3,478 | $132K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 9,017 | 8,053 | $578K | |
| 99213 | 6,609 | 6,245 | $283K | |
| 90837 | 1,406 | 652 | $155K | |
| 11721 | 3,762 | 3,586 | $69K | |
| 99215 | Prolong outpt/office vis | 148 | 125 | $16K |
| 92015 | 778 | 696 | $8K | |
| 90792 | 65 | 64 | $8K | |
| 90834 | 97 | 69 | $7K | |
| 36415 | 3,245 | 2,884 | $7K | |
| 96127 | 236 | 233 | $5K | |
| 80053 | 845 | 768 | $4K | |
| 90686 | 217 | 199 | $3K | |
| 99212 | 108 | 104 | $2K | |
| V2020 | Vision svcs frames purchases | 52 | 51 | $2K |
| 85025 | 614 | 562 | $2K | |
| 92340 | 65 | 65 | $2K | |
| 80061 | 244 | 229 | $2K | |
| 90471 | 106 | 103 | $2K | |
| 0241U | 12 | 12 | $1K | |
| 92014 | 14 | 12 | $596.34 | |
| 92002 | 13 | 13 | $586.08 | |
| 92250 | 25 | 13 | $375.37 | |
| D0120 | 13 | 13 | $292.15 | |
| D0274 | 16 | 16 | $261.72 | |
| D0220 | 47 | 47 | $243.50 | |
| 83036 | 44 | 39 | $233.02 | |
| D1206 | 12 | 12 | $176.50 | |
| D0230 | 33 | 33 | $158.20 | |
| 80048 | 12 | 12 | $76.82 | |
| 85027 | 19 | 12 | $72.50 | |
| 1126F | 17 | 17 | $0.05 | |
| G8417 | Calc bmi abv up param f/u | 247 | 218 | $0.02 |
| 3078F | 70 | 61 | $0.00 | |
| G9717 | Doc pt dx bipol | 43 | 42 | $0.00 |
| G8510 | Scr dep neg, no plan reqd | 28 | 28 | $0.00 |
| 3074F | 68 | 60 | $0.00 | |
| 4450F | 88 | 81 | $0.00 |