Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALEGENT CREIGHTON CLINIC

NPI: 1548287907 · OMAHA, NE 68124 · Family Medicine Physician · NPI assigned 07/15/2006

$43.05M
Total Medicaid Paid
1,022,264
Total Claims
891,775
Beneficiaries
211
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRITZA, DAVID (SYSTEM SVP)
Parent OrganizationCHI NEBRASKA
NPI Enumeration Date07/15/2006

Related Entities

Other providers sharing the same authorized official: PRITZA, DAVID

ProviderCityStateTotal Paid
ALEGENT CREIGHTON CLINIC COUNCIL BLUFFS IA $9.63M
THE PHYSICIAN NETWORK LINCOLN NE $3.10M
CHI HEALTH CLINIC SPECIALTY, LLC LINCOLN NE $2.62M
CHI HEALTH CLINIC PHYSICIAN ENTERPRISE-ANESTHESIA LLC OMAHA NE $1.81M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 94,469 $3.49M
2019 88,866 $3.22M
2020 85,894 $3.09M
2021 152,053 $5.96M
2022 189,297 $8.02M
2023 215,567 $9.95M
2024 196,118 $9.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 292,807 275,121 $13.67M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 150,295 139,491 $9.45M
99233 Prolong inpt eval add15 m 55,899 20,934 $2.61M
99284 Emergency department visit for the evaluation and management, high severity 18,096 16,870 $1.47M
99283 Emergency department visit for the evaluation and management, moderate severity 21,717 20,702 $1.41M
99232 Subsequent hospital care, per day, moderate complexity 34,145 13,770 $988K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 67,203 56,828 $892K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,937 9,029 $847K
88305 Level IV - Surgical pathology, gross and microscopic examination 17,493 16,660 $816K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 10,241 8,602 $780K
99223 Prolong inpt eval add15 m 7,011 6,505 $560K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,726 5,656 $531K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,660 8,363 $509K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,364 7,165 $503K
J0585 Injection, onabotulinumtoxina, 1 unit 1,117 578 $428K
76819 Fetal biophysical profile; without non-stress testing 5,256 3,245 $420K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,324 2,233 $389K
90686 26,820 26,320 $388K
36415 Collection of venous blood by venipuncture 106,524 99,122 $379K
99215 Prolong outpt/office vis 4,493 4,033 $346K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,307 3,195 $345K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,443 3,393 $321K
99239 Hospital discharge day management, more than 30 minutes 3,937 3,746 $311K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,980 2,932 $295K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,387 1,272 $275K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15,343 14,804 $225K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,548 5,978 $217K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,786 2,652 $215K
76820 2,694 1,365 $178K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,469 1,395 $174K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 11,411 5,487 $166K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,505 9,126 $128K
20553 2,985 2,640 $125K
88307 1,350 1,303 $104K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,428 1,060 $101K
90961 2,640 2,530 $99K
99460 976 944 $96K
90670 4,955 4,896 $90K
76801 840 778 $87K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,015 1,943 $84K
20610 2,673 2,449 $81K
99238 Hospital discharge day management, 30 minutes or less 1,087 1,053 $72K
99222 Initial hospital care, per day, moderate complexity 1,106 1,049 $69K
90648 4,166 4,115 $69K
97802 1,037 1,015 $67K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,707 1,634 $67K
76830 Ultrasound, transvaginal 901 851 $63K
95811 446 435 $61K
64615 833 575 $61K
90935 Hemodialysis procedure with single evaluation by a physician 875 488 $61K
90723 3,038 2,995 $52K
90680 2,707 2,672 $47K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,986 1,053 $46K
73630 1,879 1,474 $42K
95806 446 432 $40K
95810 Polysomnography; sleep staging with 4 or more additional parameters 272 270 $40K
88342 1,064 966 $40K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 174 171 $36K
90677 729 718 $36K
83036 Hemoglobin; glycosylated (A1C) 5,157 4,931 $33K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 670 662 $31K
90633 1,796 1,770 $30K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 300 290 $29K
93970 914 813 $29K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 877 817 $28K
93296 1,904 1,791 $25K
99205 Prolong outpt/office vis 242 230 $25K
90651 1,254 1,233 $24K
20552 1,498 1,440 $24K
94060 855 827 $22K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 297 243 $21K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 184 178 $20K
97803 464 450 $20K
90715 780 770 $20K
90656 1,383 1,361 $18K
31231 325 315 $17K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,425 1,277 $17K
54150 287 279 $17K
73610 658 590 $15K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,786 2,631 $15K
59025 Fetal non-stress test 227 145 $14K
93000 583 547 $13K
90716 533 530 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,122 1,034 $13K
93971 770 712 $12K
73564 491 333 $12K
76825 81 78 $12K
95819 652 628 $11K
92557 318 302 $11K
99308 Subsequent nursing facility care, per day, straightforward 459 433 $11K
84165 1,520 1,479 $11K
81025 1,584 1,389 $11K
93925 410 385 $11K
99221 243 228 $11K
99226 299 164 $11K
91320 156 147 $10K
81003 5,527 5,201 $10K
85060 650 595 $9K
88341 204 186 $9K
90734 490 484 $9K
0001A 253 249 $8K
88304 806 783 $8K
0004A 270 266 $8K
88112 194 182 $8K
0071A 221 219 $8K
0054A 254 253 $8K
94726 657 633 $8K
94729 565 548 $7K
0072A 183 182 $7K
99443 309 242 $6K
73502 209 189 $6K
0124A 197 193 $6K
92567 642 622 $6K
93295 253 199 $6K
0002A 175 172 $6K
J3490 Unclassified drugs 82 77 $6K
85018 2,508 2,456 $6K
80305 688 621 $6K
71046 Radiologic examination, chest; 2 views 190 183 $6K
96127 237 230 $5K
99220 76 74 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 80 78 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 268 244 $5K
87807 403 391 $5K
90707 243 242 $5K
95816 284 271 $5K
87428 101 99 $5K
76818 53 46 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 15 12 $4K
90620 177 172 $4K
86334 248 241 $4K
90662 93 92 $4K
90700 172 172 $3K
90792 Psychiatric diagnostic evaluation with medical services 14 12 $3K
73030 147 117 $3K
99462 63 58 $3K
17110 82 79 $3K
73130 115 100 $3K
90710 155 151 $3K
90480 104 96 $2K
0052A 68 68 $2K
95886 85 80 $2K
99384 17 17 $2K
90713 110 109 $2K
99442 121 112 $2K
0081A 56 56 $2K
90685 213 210 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 520 487 $2K
46600 51 49 $2K
90744 97 95 $2K
00104 50 42 $2K
90714 80 77 $2K
90696 110 106 $2K
99383 15 15 $2K
93325 27 25 $2K
99217 65 64 $2K
93294 144 139 $2K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 68 66 $2K
88173 12 12 $2K
90472 Immunization administration, each additional vaccine (list separately) 131 122 $2K
0051A 42 42 $2K
99307 66 63 $1K
90746 25 22 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 120 119 $1K
99235 12 12 $1K
76882 57 56 $1K
95717 16 14 $1K
0012A 46 45 $1K
91318 62 62 $1K
76827 14 13 $1K
90698 95 94 $1K
90962 15 14 $955.82
73110 42 40 $954.54
0011A 32 30 $942.24
99281 Emergency department visit for the evaluation and management, self-limited or minor 46 35 $922.60
95251 39 38 $889.21
86335 32 32 $657.48
0082A 17 17 $619.94
87210 123 114 $606.03
51798 86 82 $583.63
74018 27 25 $556.20
0074A 13 13 $463.57
86803 34 30 $397.52
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 29 26 $366.26
93922 29 26 $365.45
99441 39 35 $357.44
84166 28 26 $346.95
73562 15 12 $346.02
J1030 Injection, methylprednisolone acetate, 40 mg 57 57 $292.90
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 28 25 $280.69
94618 13 13 $209.08
95885 13 13 $157.03
93793 77 76 $156.15
90381 12 12 $131.04
51705 25 24 $93.68
J1040 Injection, methylprednisolone acetate, 80 mg 14 12 $74.78
J1010 Injection, methylprednisolone acetate, 1 mg 15 13 $64.56
82044 12 12 $61.64
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 12 12 $60.35
82570 12 12 $58.82
99152 12 12 $57.80
J1885 Injection, ketorolac tromethamine, per 15 mg 40 29 $46.07
81002 12 12 $39.82
85610 13 12 $38.65
91307 442 411 $0.24
91301 126 118 $0.00
91305 405 393 $0.00
G0008 Administration of influenza virus vaccine 122 116 $0.00
99000 19 18 $0.00
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 14 12 $0.00
91300 1,114 1,048 $0.00