NPI: 1558328997 · LINCOLN, NE 68505 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,513 | $190K |
| 2019 | 2,719 | $188K |
| 2020 | 2,697 | $174K |
| 2021 | 3,702 | $192K |
| 2022 | 4,501 | $262K |
| 2023 | 1,406 | $72K |
| 2024 | 612 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4528 | Adult size pull-on xl | 1,550 | 1,461 | $232K |
| T4527 | Adult size pull-on lg | 1,443 | 1,357 | $213K |
| T4526 | Adult size pull-on med | 1,385 | 1,331 | $197K |
| A4927 | Non-sterile gloves | 6,432 | 5,971 | $181K |
| B4150 | Ef complet w/intact nutrient | 1,337 | 1,230 | $110K |
| T4535 | Disposable liner/shield/pad | 3,197 | 2,976 | $75K |
| T4541 | Large disposable underpad | 1,130 | 1,075 | $72K |
| A4520 | Incontinence garment anytype | 38 | 32 | $1K |
| T4537 | Reusable underpad bed size | 18 | 18 | $826.66 |
| T4540 | Reusable underpad chair size | 14 | 14 | $617.68 |
| A4930 | Sterile, gloves per pair | 42 | 42 | $107.92 |
| 0124A | 97 | 97 | $74.62 | |
| 90694 | 74 | 74 | $66.42 | |
| 0064A | 131 | 131 | $37.99 | |
| 0013A | 29 | 29 | $37.31 | |
| 90674 | 80 | 80 | $32.95 | |
| 90756 | 12 | 12 | $31.94 | |
| G0008 | Admin influenza virus vac | 295 | 295 | $23.61 |
| 0012A | 51 | 51 | $9.20 | |
| 0011A | 86 | 86 | $4.40 | |
| 0134A | 29 | 29 | $1.48 | |
| 0004A | 26 | 26 | $0.74 | |
| G0009 | Admin pneumococcal vaccine | 33 | 33 | $0.00 |
| 90677 | 33 | 33 | $0.00 | |
| 90480 | 237 | 237 | $0.00 | |
| 91320 | 85 | 85 | $0.00 | |
| 91322 | 149 | 149 | $0.00 | |
| 90661 | 23 | 23 | $0.00 | |
| 0003A | 49 | 49 | $0.00 | |
| 90653 | 45 | 45 | $0.00 |