Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE PHYSICIAN NETWORK

NPI: 1437184652 · LINCOLN, NE 68526 · Critical Care Medicine (Anesthesiology) Physician · NPI assigned 07/12/2006

$3.10M
Total Medicaid Paid
59,709
Total Claims
52,879
Beneficiaries
63
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialPRITZA, DAVID (SYSTEM SENIOR VP)
NPI Enumeration Date07/12/2006

Related Entities

Other providers sharing the same authorized official: PRITZA, DAVID

ProviderCityStateTotal Paid
ALEGENT CREIGHTON CLINIC OMAHA NE $43.05M
ALEGENT CREIGHTON CLINIC COUNCIL BLUFFS IA $9.63M
CHI HEALTH CLINIC SPECIALTY, LLC LINCOLN NE $2.62M
CHI HEALTH CLINIC PHYSICIAN ENTERPRISE-ANESTHESIA LLC OMAHA NE $1.81M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,648 $1.06M
2019 15,008 $714K
2020 10,876 $541K
2021 8,341 $540K
2022 2,836 $247K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,909 13,129 $794K
99283 Emergency department visit for the evaluation and management, moderate severity 10,251 10,025 $529K
90792 Psychiatric diagnostic evaluation with medical services 2,068 1,960 $462K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,914 8,940 $444K
99284 Emergency department visit for the evaluation and management, high severity 3,249 3,145 $184K
90834 Psychotherapy, 45 minutes with patient 1,075 617 $114K
99232 Subsequent hospital care, per day, moderate complexity 2,626 1,002 $90K
99233 Prolong inpt eval add15 m 1,509 527 $73K
90837 Psychotherapy, 53 minutes with patient 524 297 $68K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 461 432 $63K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 665 650 $36K
99221 721 686 $29K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,312 1,058 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 99 96 $19K
99238 Hospital discharge day management, 30 minutes or less 528 497 $18K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 294 280 $14K
99282 Emergency department visit for the evaluation and management, low to moderate severity 349 348 $13K
99239 Hospital discharge day management, more than 30 minutes 214 198 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity 506 249 $12K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 155 144 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 92 92 $9K
36415 Collection of venous blood by venipuncture 3,328 3,096 $7K
99442 287 269 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 73 55 $7K
83036 Hemoglobin; glycosylated (A1C) 1,127 1,096 $7K
99223 Prolong inpt eval add15 m 60 58 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 168 155 $5K
97597 343 160 $5K
93320 56 54 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 55 52 $4K
82947 1,404 1,358 $3K
84443 Thyroid stimulating hormone (TSH) 246 231 $3K
99215 Prolong outpt/office vis 34 29 $3K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 171 167 $3K
93325 73 71 $3K
95886 42 41 $3K
93000 59 57 $2K
71046 Radiologic examination, chest; 2 views 79 74 $2K
90791 Psychiatric diagnostic evaluation 16 16 $2K
99222 Initial hospital care, per day, moderate complexity 28 27 $2K
84439 212 196 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 32 28 $2K
92567 155 151 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 91 88 $1K
20553 41 26 $945.23
90686 81 79 $898.43
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 27 $679.97
V5266 Battery for use in hearing device 26 26 $616.25
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $550.18
85025 Blood count; complete (CBC), automated, and automated differential WBC count 85 81 $500.61
99443 17 16 $471.02
80053 Comprehensive metabolic panel 51 50 $342.09
87081 30 29 $218.09
94060 16 15 $194.05
80305 41 39 $167.62
81003 68 60 $148.34
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 22 20 $118.17
85018 45 38 $109.72
94729 15 14 $74.90
81001 25 24 $71.20
94726 15 14 $67.06
36416 403 382 $1.80
99000 27 26 $0.00