NPI: 1497938542 · WINNEBAGO, NE 68071 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,338 | $334K |
| 2019 | 1,354 | $364K |
| 2020 | 769 | $238K |
| 2021 | 2,015 | $417K |
| 2022 | 3,863 | $772K |
| 2023 | 3,092 | $646K |
| 2024 | 176 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 7,989 | 4,969 | $2.77M |
| D9999 | 317 | 285 | $94K | |
| V2020 | Vision svcs frames purchases | 41 | 37 | $683.08 |
| 92340 | 12 | 12 | $674.48 | |
| 92014 | 13 | 13 | $421.16 | |
| D1999 | 84 | 73 | $350.00 | |
| D1208 | 289 | 275 | $149.98 | |
| D0140 | 527 | 509 | $61.34 | |
| D1206 | 468 | 465 | $10.00 | |
| D1351 | 1,062 | 299 | $0.27 | |
| D7140 | 141 | 105 | $0.27 | |
| D0220 | 227 | 219 | $0.18 | |
| D2392 | 51 | 39 | $0.16 | |
| D0120 | 1,018 | 1,012 | $0.15 | |
| D0274 | 77 | 77 | $0.05 | |
| D2391 | 21 | 13 | $0.02 | |
| D0150 | 41 | 41 | $0.01 | |
| D0330 | 83 | 83 | $0.00 | |
| D1120 | 109 | 109 | $0.00 | |
| D0145 | 37 | 37 | $0.00 |