NPI: 1346453016 · LA VISTA, NE 68128 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,797 | $183K |
| 2019 | 6,874 | $161K |
| 2020 | 5,461 | $130K |
| 2021 | 5,421 | $139K |
| 2022 | 5,671 | $151K |
| 2023 | 6,091 | $176K |
| 2024 | 5,367 | $151K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 9,124 | 9,097 | $255K | |
| D1206 | 9,803 | 9,525 | $241K | |
| D0120 | 8,154 | 8,134 | $194K | |
| D2392 | 1,092 | 652 | $82K | |
| D9230 | 2,141 | 1,987 | $64K | |
| D2391 | 1,008 | 654 | $60K | |
| D0272 | 4,156 | 4,130 | $58K | |
| D0145 | 945 | 943 | $37K | |
| D1351 | 1,206 | 451 | $31K | |
| D2930 | 264 | 93 | $30K | |
| D1110 | 289 | 288 | $11K | |
| D0220 | 1,428 | 1,384 | $9K | |
| D0150 | 386 | 386 | $8K | |
| D0230 | 1,413 | 728 | $7K | |
| D7140 | 66 | 36 | $4K | |
| D1999 | 170 | 165 | $2K | |
| D0274 | 25 | 25 | $530.51 | |
| D0140 | 12 | 12 | $264.00 |