OMAHA TRIBE OF NEBRASKA
NPI: 1609083914
· MACY, NE 68039
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 05/17/2007
$425K
Total Medicaid Paid
Provider Details
| Authorized Official | ROWLAND, SARAH (CEO) |
| NPI Enumeration Date | 05/17/2007 |
Related Entities
Other providers sharing the same authorized official: ROWLAND, SARAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
263 |
$44K |
| 2019 |
2,090 |
$204K |
| 2020 |
3,201 |
$145K |
| 2021 |
705 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
4,842 |
361 |
$423K |
| A4657 |
Syringe, with or without needle, each |
149 |
131 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
31 |
25 |
$90.99 |
| 84155 |
|
51 |
26 |
$0.00 |
| 83540 |
|
50 |
26 |
$0.00 |
| 85014 |
|
95 |
26 |
$0.00 |
| 84450 |
|
51 |
26 |
$0.00 |
| 84295 |
|
53 |
26 |
$0.00 |
| 82310 |
|
93 |
26 |
$0.00 |
| 82374 |
|
50 |
26 |
$0.00 |
| 84466 |
|
51 |
26 |
$0.00 |
| 84460 |
|
51 |
26 |
$0.00 |
| 84100 |
|
95 |
26 |
$0.00 |
| 82565 |
|
50 |
26 |
$0.00 |
| 84075 |
|
50 |
26 |
$0.00 |
| 82435 |
|
50 |
26 |
$0.00 |
| 82040 |
|
93 |
26 |
$0.00 |
| 82728 |
|
50 |
26 |
$0.00 |
| 86706 |
|
51 |
26 |
$0.00 |
| 90686 |
|
15 |
12 |
$0.00 |
| 87340 |
|
21 |
14 |
$0.00 |
| 84132 |
|
104 |
26 |
$0.00 |
| 85018 |
|
95 |
26 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
18 |
14 |
$0.00 |