Grand Island Clinic INC

Grand Island Clinic INC was paid $9.23M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoGRAND ISLAND CLINIC INC
GRAND ISLAND, NE 68803

33aNPI1598766735assigned 08/10/2005

33bProvider typeObstetrics & Gynecology Physician

28Total paid$9.23M

24GClaims209,156

24DCodes billed83

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Nebraska

Rank by total paid#1 of 19

Median peer was paid$14K

This provider vs. median662×

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	24,511	$1.11M
2019	26,413	$1.18M
2020	24,581	$1.10M
2021	31,893	$1.40M
2022	36,310	$1.68M
2023	36,739	$1.55M
2024incomplete	28,709	$1.21M

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	36%	51,487	48,453	$3.31M
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	15%	14,675	13,807	$1.42M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	14%	13,539	11,986	$1.26M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	11%	9,788	9,665	$971K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.5%	3,403	3,294	$327K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.9%	2,944	2,896	$270K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.1%	1,918	1,855	$197K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	2.1%	3,938	3,822	$192K
90686		1.9%	10,016	9,918	$173K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	1.5%	4,101	4,014	$137K
90648		1.5%	7,059	6,995	$136K
90670		1.3%	6,002	5,947	$116K

71 more codes

90723		1.0%	4,938	$95K
36415	Collection of venous blood by venipuncture	<1%	14,305	$57K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	2,732	$45K
90681		<1%	2,210	$43K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	2,425	$39K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	480	$37K
90633		<1%	1,849	$35K
99238	Hospital discharge day management, 30 minutes or less	<1%	426	$33K
90716		<1%	1,591	$30K
85027		<1%	4,689	$29K
90707		<1%	1,480	$27K
96127		<1%	2,954	$27K
99460		<1%	200	$24K
87430		<1%	1,251	$21K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	1,722	$16K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	354	$15K
83655		<1%	1,193	$15K
90677		<1%	1,018	$12K
90651		<1%	611	$10K
85014		<1%	4,219	$10K
85018		<1%	4,218	$10K
90696		<1%	456	$8K
94664		<1%	341	$8K
90734		<1%	386	$7K
90656		<1%	564	$6K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	318	$6K
71046	Radiologic examination, chest; 2 views	<1%	126	$6K
80053	Comprehensive metabolic panel	<1%	754	$6K
87807		<1%	431	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	868	$5K
87420		<1%	290	$4K
90715		<1%	199	$4K
81003		<1%	1,932	$4K
80061	Lipid panel	<1%	341	$4K
87086	Culture, bacterial; quantitative colony count, urine	<1%	419	$3K
0001A		<1%	73	$2K
83718		<1%	298	$2K
81001		<1%	700	$2K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	15	$2K
0002A		<1%	50	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	232	$2K
90700		<1%	81	$2K
0071A		<1%	43	$2K
0072A		<1%	39	$1K
82465		<1%	301	$1K
83036	Hemoglobin; glycosylated (A1C)	<1%	162	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	67	$1K
80048	Basic metabolic panel (calcium, ionized)	<1%	83	$694.69
86803		<1%	53	$640.03
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	16	$591.75
T1013	Sign language or oral interpretive services, per 15 minutes	<1%	24	$588.23
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	28	$454.64
87081		<1%	39	$261.57
87077		<1%	29	$220.31
87184		<1%	29	$194.69
84443	Thyroid stimulating hormone (TSH)	<1%	13	$175.28
87070		<1%	16	$132.64
81015		<1%	37	$123.12
87340		<1%	12	$116.63
86885		<1%	14	$63.76
99459		<1%	13	$54.00
36416		<1%	5,145	$12.77
0502F		<1%	4,155	$5.78
3008F		<1%	1,929	$3.60
3074F		<1%	1,801	$3.48
3078F		<1%	1,542	$2.93
3079F		<1%	103	$0.29
3044F		<1%	38	$0.02
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	738	$0.00
91308		0%	61	$0.00
96160		0%	17	$0.00

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 officialHERBEK, DOUGLAS (PHYSICIAN)