Clinic
Loup Basin Public Health Department
Loup Basin Public Health Department was paid $51K by Medicaid between Feb 2018 and Oct 2024, across 15 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 48% of everything it billed.
33Billing provider infoLOUP BASIN PUBLIC HEALTH DEPARTMENT
BURWELL, NE 68823
BURWELL, NE 68823
33aNPI1528372562assigned 08/02/2010
33bProvider typeState or Local Public Health Clinic/Center
28Total paid$51K
24GClaims3,400
24DCodes billed15
24AFirst – last monthFeb 2018 – Oct 2024
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 | 308 | $4K | |
| 2019 | 491 | $6K | |
| 2020 | 328 | $5K | |
| 2021 | 563 | $7K | |
| 2022 | 592 | $9K | |
| 2023 | 536 | $8K | |
| 2024incomplete | 582 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 48% | 1,212 | 1,044 | $24K |
| 90686 | 23% | 808 | 793 | $12K | |
| D1999 | 8.9% | 477 | 477 | $5K | |
| D0190 | 8.1% | 290 | 290 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.0% | 132 | 124 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 114 | 114 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 65 | 58 | $1K |
| 0001A | <1% | 12 | 12 | $447.00 | |
| 90661 | <1% | 29 | 29 | $320.76 | |
| 90734 | <1% | 27 | 25 | $287.08 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 132 | 124 | $0.00 |
| 90662 | 0% | 12 | 12 | $0.00 |
3 more codes
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 officialCONE, CHARLES (DIRECTOR)