Physician
Central Nebraska Orthopedics & Sports Medicine, P.C.
Central Nebraska Orthopedics & Sports Medicine, P.C. was paid $199K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoCENTRAL NEBRASKA ORTHOPEDICS & SPORTS MEDICINE, P.C.
GRAND ISLAND, NE 68803
GRAND ISLAND, NE 68803
33aNPI1538163092assigned 06/11/2005
33bProvider typeOrthopaedic Surgery Physician
28Total paid$199K
24GClaims5,467
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Nebraska
Rank by total paid#2 of 9
Median peer was paid$9K
This provider vs. median22×
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 | 361 | $13K | |
| 2019 | 349 | $11K | |
| 2020 | 189 | $6K | |
| 2021 | 875 | $33K | |
| 2022 | 1,331 | $50K | |
| 2023 | 1,248 | $48K | |
| 2024incomplete | 1,114 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 3,183 | 2,835 | $92K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 41% | 1,622 | 1,505 | $81K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.3% | 217 | 194 | $11K |
| 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 | 4.6% | 206 | 190 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 194 | 175 | $4K |
| 72110 | <1% | 45 | 37 | $1K |
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 officialCAHOY, PHILIP (PHYSICIAN)