NPI: 1598713455 · FREMONT, NE 68025 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,449 | $147K |
| 2019 | 2,427 | $96K |
| 2020 | 821 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,178 | 2,739 | $139K | |
| 99213 | 2,377 | 2,158 | $71K | |
| 90837 | 396 | 224 | $42K | |
| 90792 | 124 | 118 | $18K | |
| 90791 | 25 | 25 | $3K | |
| 90834 | 33 | 26 | $3K | |
| 76805 | 12 | 12 | $2K | |
| 85018 | 289 | 273 | $706.06 | |
| 99308 | 27 | 24 | $516.07 | |
| 99309 | 14 | 13 | $225.26 | |
| 90686 | 12 | 12 | $209.33 | |
| 36415 | 47 | 44 | $111.24 | |
| 90471 | 13 | 13 | $69.72 | |
| 1111F | 138 | 125 | $0.00 | |
| 36416 | 12 | 12 | $0.00 |