NPI: 1528149580 · OMAHA, NE 68198 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,574 | $65K |
| 2019 | 3,188 | $82K |
| 2020 | 2,820 | $60K |
| 2021 | 8,255 | $175K |
| 2022 | 9,826 | $228K |
| 2023 | 8,076 | $221K |
| 2024 | 5,683 | $151K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 5,522 | 5,410 | $190K | |
| D1206 | 7,462 | 7,275 | $149K | |
| D0120 | 3,989 | 3,926 | $90K | |
| D9420 | 1,036 | 991 | $74K | |
| D0140 | 2,950 | 2,881 | $70K | |
| D2392 | 728 | 496 | $53K | |
| D4341 | 543 | 157 | $50K | |
| D0210 | 1,083 | 1,064 | $45K | |
| D1999 | 4,508 | 4,078 | $43K | |
| D0274 | 2,282 | 2,242 | $42K | |
| D2391 | 756 | 470 | $37K | |
| D7140 | 462 | 125 | $28K | |
| D0150 | 1,345 | 1,325 | $28K | |
| D4910 | 749 | 703 | $24K | |
| D0330 | 709 | 701 | $14K | |
| D0220 | 1,645 | 1,539 | $9K | |
| D9230 | 328 | 260 | $8K | |
| D2331 | 90 | 53 | $5K | |
| D2330 | 91 | 58 | $5K | |
| D0230 | 1,948 | 574 | $5K | |
| D2393 | 48 | 40 | $4K | |
| D4355 | 95 | 95 | $4K | |
| D1354 | 333 | 105 | $3K | |
| D2150 | 32 | 25 | $2K | |
| D1351 | 72 | 12 | $2K | |
| D0180 | 27 | 27 | $704.11 | |
| D1120 | 14 | 12 | $314.24 | |
| D9999 | 13 | 13 | $159.17 | |
| D9997 | 1,467 | 1,408 | $0.00 | |
| D3120 | 95 | 73 | $0.00 |