Physician
Alegent Creighton Clinic
Alegent Creighton Clinic was paid $9.63M by Medicaid between Jan 2018 and Dec 2024, across 97 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoALEGENT CREIGHTON CLINIC
COUNCIL BLUFFS, IA 51503
COUNCIL BLUFFS, IA 51503
33aNPI1598811069assigned 01/26/2007
33bProvider typeInternal Medicine Physician
28Total paid$9.63M
24GClaims336,079
24DCodes billed97
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Iowa
Rank by total paid#2 of 65
Median peer was paid$11K
This provider vs. median863×
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 | 42,602 | $1.12M | |
| 2019 | 45,891 | $1.27M | |
| 2020 | 43,436 | $1.13M | |
| 2021 | 54,297 | $1.44M | |
| 2022 | 59,081 | $1.50M | |
| 2023 | 51,624 | $1.63M | |
| 2024incomplete | 39,148 | $1.54M |
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 | 41% | 117,057 | 103,733 | $3.94M |
| 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 | 29% | 64,715 | 53,656 | $2.81M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.4% | 4,270 | 4,027 | $324K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 3,523 | 3,174 | $236K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 2,981 | 2,866 | $221K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.2% | 4,284 | 4,087 | $216K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 19,924 | 18,686 | $197K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 2,100 | 2,020 | $155K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.6% | 3,907 | 1,441 | $152K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 1,605 | 1,548 | $134K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 6,676 | 6,246 | $133K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 9,174 | 8,682 | $130K |
85 more codes
| 90686 | <1% | 10,269 | $93K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 10,054 | $88K |
| 36415 | Collection of venous blood by venipuncture | <1% | 35,452 | $80K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,471 | $77K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,023 | $68K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,002 | $57K |
| 99285 | Emergency room visit (most serious) | <1% | 473 | $57K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 764 | $51K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 831 | $42K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 630 | $38K |
| 99223 | Prolong inpt eval add15 m | <1% | 467 | $37K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 929 | $28K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 468 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 944 | $25K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 308 | $18K |
| 99460 | <1% | 191 | $15K | |
| 97597 | <1% | 1,767 | $14K | |
| 76830 | Ultrasound, transvaginal | <1% | 174 | $13K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 906 | $12K |
| 96127 | <1% | 659 | $11K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 133 | $11K |
| 85018 | <1% | 3,952 | $11K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 109 | $10K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 77 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,262 | $7K |
| 90474 | <1% | 1,056 | $7K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 252 | $6K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 222 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 105 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 120 | $5K |
| 90670 | <1% | 2,479 | $5K | |
| 95251 | <1% | 81 | $4K | |
| 81003 | <1% | 1,797 | $3K | |
| 99220 | <1% | 39 | $3K | |
| 90648 | <1% | 2,248 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 34 | $2K |
| 99217 | <1% | 52 | $2K | |
| 0001A | <1% | 63 | $2K | |
| 90651 | <1% | 627 | $2K | |
| 90723 | <1% | 1,598 | $2K | |
| 90656 | <1% | 374 | $2K | |
| 0071A | <1% | 44 | $2K | |
| 90680 | <1% | 1,221 | $2K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 13 | $2K |
| 90677 | <1% | 29 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 78 | $1K |
| 0004A | <1% | 40 | $1K | |
| 87428 | <1% | 13 | $1K | |
| 99383 | <1% | 14 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 86 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 53 | $1K |
| 99226 | <1% | 27 | $1K | |
| 90633 | <1% | 890 | $970.04 | |
| 91320 | <1% | 12 | $928.18 | |
| 59025 | Fetal non-stress test | <1% | 28 | $822.80 |
| 90715 | <1% | 190 | $760.63 | |
| 90480 | <1% | 28 | $675.41 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 16 | $561.71 |
| 20610 | <1% | 13 | $552.12 | |
| 90710 | <1% | 363 | $538.98 | |
| 90734 | <1% | 468 | $445.25 | |
| 0002A | <1% | 12 | $440.71 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 25 | $322.43 |
| 99000 | <1% | 140 | $298.96 | |
| 0124A | <1% | 49 | $282.40 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 34 | $248.07 |
| 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) | <1% | 78 | $247.40 |
| 90647 | <1% | 159 | $224.43 | |
| 90620 | <1% | 57 | $212.58 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 28 | $171.11 |
| 87807 | <1% | 12 | $167.11 | |
| 81025 | <1% | 16 | $110.47 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 162 | $97.94 |
| 90700 | <1% | 39 | $81.53 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 15 | $76.74 |
| 90696 | <1% | 73 | $69.76 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 26 | $45.50 |
| 90685 | <1% | 22 | $11.25 | |
| 90707 | <1% | 13 | $10.17 | |
| 90716 | <1% | 13 | $10.17 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 12 | $2.02 |
| 91300 | 0% | 279 | $0.00 | |
| 91307 | 0% | 100 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 382 | $0.00 |
| 91305 | 0% | 29 | $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 officialPRITZA, DAVID (SVP)
Parent organizationCHI NEBRASKA
| Provider | Location | Paid |
|---|---|---|
| Alegent Creighton Clinic | Omaha, NE | $43.05M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.