Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NE › Lincoln › NPI 1437184652
Physician

The Physician Network

The Physician Network was paid $3.10M by Medicaid between Jan 2018 and Jun 2022, across 63 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoTHE PHYSICIAN NETWORK
LINCOLN, NE 68526
33aNPI1437184652assigned 07/12/2006
28Total paid$3.10M
24GClaims59,709
24DCodes billed63
24AFirst – last monthJan 2018 – Jun 2022
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201822,648$1.06M
201915,008$714K
202010,876$541K
20218,341$540K
20222,836$247K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 26% 13,909 13,129 $794K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 10,251 10,025 $529K
90792 Psychiatric diagnostic evaluation with medical services 15% 2,068 1,960 $462K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 9,914 8,940 $444K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.9% 3,249 3,145 $184K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 3.7% 1,075 617 $114K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.9% 2,626 1,002 $90K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.4% 1,509 527 $73K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 2.2% 524 297 $68K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2.0% 461 432 $63K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 665 650 $36K
99221 <1% 721 686 $29K
51 more codes
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,312 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 99 $19K
99238 Hospital discharge day management, 30 minutes or less <1% 528 $18K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 294 $14K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 349 $13K
99239 Hospital discharge day management, more than 30 minutes <1% 214 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 506 $12K
99285 Emergency room visit (most serious) <1% 155 $11K
99204 Doctor's office visit, new patient (more involved) <1% 92 $9K
36415 Collection of venous blood by venipuncture <1% 3,328 $7K
99442 <1% 287 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 73 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 1,127 $7K
99223 Prolong inpt eval add15 m <1% 60 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 168 $5K
97597 <1% 343 $5K
93320 <1% 56 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 55 $4K
82947 <1% 1,404 $3K
84443 Thyroid stimulating hormone (TSH) <1% 246 $3K
99215 Doctor's office visit, returning patient (complex) <1% 34 $3K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 171 $3K
93325 <1% 73 $3K
95886 <1% 42 $3K
93000 <1% 59 $2K
71046 Radiologic examination, chest; 2 views <1% 79 $2K
90791 Psychiatric diagnostic evaluation <1% 16 $2K
99222 Initial hospital care, per day, moderate complexity <1% 28 $2K
84439 <1% 212 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 32 $2K
92567 <1% 155 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 91 $1K
20553 <1% 41 $945.23
90686 <1% 81 $898.43
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 28 $679.97
V5266 Battery for use in hearing device <1% 26 $616.25
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 $550.18
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 85 $500.61
99443 <1% 17 $471.02
80053 Comprehensive metabolic panel <1% 51 $342.09
87081 <1% 30 $218.09
94060 <1% 16 $194.05
80305 <1% 41 $167.62
81003 <1% 68 $148.34
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 22 $118.17
85018 <1% 45 $109.72
94729 <1% 15 $74.90
81001 <1% 25 $71.20
94726 <1% 15 $67.06
36416 <1% 403 $1.80
99000 0% 27 $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.

From NPPES

Who's on the registration

Authorized officialPRITZA, DAVID (SYSTEM SENIOR VP)
Same official

Other billing entities under PRITZA, DAVID

Full network →
ProviderLocationPaid
Alegent Creighton ClinicOmaha, NE$43.05M
Alegent Creighton ClinicCouncil Bluffs, IA$9.63M
Chi Health Clinic Specialty, LLCLincoln, NE$2.62M
Chi Health Clinic Physician Enterprise-Anesthesia LLCOmaha, NE$1.81M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.