Behavioral
Midtown Health Center, INC.
Midtown Health Center, INC. was paid $10.16M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 54% of everything it billed.
33Billing provider infoMIDTOWN HEALTH CENTER, INC.
NORFOLK, NE 68701
NORFOLK, NE 68701
33aNPI1487837696assigned 12/11/2007
33bProvider typeMental Health Counselor
28Total paid$10.16M
24GClaims110,292
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Nebraska
Rank by total paid#2 of 384
Median peer was paid$81K
This provider vs. median125×
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 | 5,528 | $369K | |
| 2019 | 5,709 | $480K | |
| 2020 | 6,376 | $807K | |
| 2021 | 18,384 | $1.67M | |
| 2022 | 26,877 | $2.31M | |
| 2023 | 25,998 | $2.43M | |
| 2024incomplete | 21,420 | $2.09M |
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 | 54% | 43,494 | 35,064 | $5.50M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 17,667 | 15,342 | $2.43M |
| 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 | 7.3% | 5,634 | 4,928 | $746K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 2,132 | 1,942 | $321K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.9% | 3,065 | 1,950 | $300K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 1,220 | 1,189 | $201K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,521 | 770 | $100K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 844 | 548 | $73K |
| 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% | 372 | 363 | $69K |
| 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 | <1% | 1,375 | 1,000 | $54K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 274 | 269 | $46K |
| D1999 | <1% | 4,590 | 3,863 | $42K |
54 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 220 | $39K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 371 | $36K |
| D1206 | Topical application of fluoride varnish | <1% | 4,041 | $19K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 86 | $19K |
| 87428 | <1% | 679 | $18K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,949 | $17K |
| 90670 | <1% | 1,046 | $14K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,379 | $12K |
| 90686 | <1% | 1,023 | $12K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 994 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 54 | $10K |
| D0120 | Dental checkup, returning patient | <1% | 1,987 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 475 | $7K |
| D1120 | Dental cleaning, child | <1% | 1,200 | $6K |
| 99381 | <1% | 28 | $6K | |
| D1110 | Prophylaxis - adult | <1% | 1,266 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 812 | $5K |
| 92552 | <1% | 79 | $5K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,495 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 752 | $4K |
| 90647 | <1% | 415 | $4K | |
| 85018 | <1% | 1,370 | $4K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 14 | $3K |
| 90677 | <1% | 236 | $3K | |
| 90697 | <1% | 207 | $2K | |
| 90681 | <1% | 186 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 94 | $2K |
| 3008F | <1% | 1,288 | $1K | |
| 90723 | <1% | 102 | $1K | |
| 90633 | <1% | 93 | $933.45 | |
| D0272 | Bitewings - two radiographic images | <1% | 593 | $786.02 |
| 90710 | <1% | 62 | $556.92 | |
| 90700 | <1% | 52 | $543.48 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 71 | $522.54 |
| 90656 | <1% | 31 | $446.37 | |
| 90651 | <1% | 30 | $327.60 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 158 | $286.00 |
| 99172 | <1% | 15 | $255.03 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 178 | $167.73 |
| D0330 | Panoramic radiographic image | <1% | 200 | $144.00 |
| 90688 | <1% | 12 | $131.04 | |
| Q3014 | Telehealth originating site facility fee | <1% | 13 | $129.90 |
| 90715 | <1% | 12 | $120.12 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 456 | $70.94 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $60.20 |
| 99177 | <1% | 30 | $12.25 | |
| 3074F | <1% | 57 | $0.19 | |
| 3078F | <1% | 47 | $0.17 | |
| 3079F | <1% | 13 | $0.05 | |
| D1354 | 0% | 23 | $0.00 | |
| D0603 | 0% | 28 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 692 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 330 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 46 | $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 officialNORDBY, KATHY (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Midtown Health Center, INC. | Madison, NE | $196K |
| Midtown Health Center, INC. | Norfolk, NE | $192K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.