PRAIRIE FOOT & ANKLE PC
NPI: 1528587813
· GRAND ISLAND, NE 68803
· Family Nurse Practitioner
· NPI assigned 09/18/2017
$143K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
323 |
$4K |
| 2019 |
631 |
$14K |
| 2020 |
628 |
$12K |
| 2021 |
1,220 |
$38K |
| 2022 |
1,458 |
$45K |
| 2023 |
816 |
$21K |
| 2024 |
500 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,508 |
807 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,555 |
1,874 |
$47K |
| 11721 |
|
1,239 |
1,168 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
93 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
36 |
$1K |
| 97597 |
|
107 |
36 |
$779.02 |
| 11055 |
|
14 |
14 |
$87.35 |