Physician
Community Action Partnership of Western Nebraska
Community Action Partnership of Western Nebraska was paid $11.42M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoCOMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA
GERING, NE 69341
GERING, NE 69341
33aNPI1437261211assigned 08/31/2006
33bProvider typeFamily Medicine Physician
28Total paid$11.42M
24GClaims126,156
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Nebraska
Rank by total paid#2 of 121
Median peer was paid$156K
This provider vs. median73×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,824 | $536K | |
| 2019 | 10,497 | $647K | |
| 2020 | 11,428 | $916K | |
| 2021 | 24,775 | $2.34M | |
| 2022 | 29,009 | $2.89M | |
| 2023 | 24,790 | $2.44M | |
| 2024incomplete | 16,833 | $1.66M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 59% | 37,301 | 22,101 | $6.78M |
| 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 | 11% | 9,357 | 8,257 | $1.27M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 13,087 | 11,292 | $1.27M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.9% | 5,660 | 2,946 | $672K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.1% | 5,642 | 2,818 | $581K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.0% | 6,118 | 4,943 | $229K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 643 | 617 | $67K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 736 | 716 | $64K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,847 | 2,390 | $53K |
| D1206 | Topical application of fluoride varnish | <1% | 8,689 | 7,805 | $51K |
| D1999 | <1% | 5,054 | 4,555 | $47K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,754 | 3,727 | $40K |
60 more codes
| D1110 | Prophylaxis - adult | <1% | 3,205 | $39K |
| D1120 | Dental cleaning, child | <1% | 2,658 | $31K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,639 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 170 | $23K |
| 99442 | <1% | 176 | $22K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 269 | $21K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 149 | $16K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 187 | $16K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,968 | $13K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 132 | $12K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 44 | $10K |
| D0274 | Bitewings - four radiographic images | <1% | 2,086 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,392 | $10K |
| 3008F | <1% | 1,634 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,278 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 173 | $5K |
| H0001 | Alcohol and/or drug assessment | <1% | 227 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,657 | $4K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 200 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 286 | $2K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 392 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 228 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 182 | $2K |
| 91322 | <1% | 17 | $1K | |
| 90686 | <1% | 96 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 27 | $1K |
| 87592 | <1% | 25 | $1K | |
| 87487 | <1% | 25 | $1K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 496 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 173 | $1K |
| D0330 | Panoramic radiographic image | <1% | 561 | $949.76 |
| 80305 | <1% | 121 | $909.72 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 15 | $885.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 239 | $826.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 279 | $756.17 |
| H0046 | Mental health services, not otherwise specified | <1% | 30 | $508.53 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $386.81 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 18 | $281.03 |
| 82962 | <1% | 167 | $154.02 | |
| 80053 | Comprehensive metabolic panel | <1% | 13 | $126.72 |
| 81002 | <1% | 15 | $31.32 | |
| 81003 | <1% | 12 | $20.35 | |
| 3074F | <1% | 42 | $0.08 | |
| 3078F | <1% | 27 | $0.05 | |
| 3077F | <1% | 32 | $0.04 | |
| D1354 | 0% | 247 | $0.00 | |
| D0270 | 0% | 12 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 67 | $0.00 |
| D0190 | 0% | 42 | $0.00 | |
| 90461 | 0% | 16 | $0.00 | |
| D0180 | 0% | 24 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 854 | $0.00 |
| D4346 | 0% | 46 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 18 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 42 | $0.00 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 17 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 12 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 60 | $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 officialVIDLAK, BETSY (C.E.O.)