South Side Convenient Care INC

South Side Convenient Care INC was paid $112K by Medicaid between Mar 2018 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoSOUTH SIDE CONVENIENT CARE INC
BELLEVUE, NE 68147

33aNPI1679007249assigned 04/20/2017

33bProvider typePhysician Assistant

28Total paid$112K

24GClaims2,977

24DCodes billed8

24AFirst – last monthMar 2018 – Dec 2024

Compared with peers

Next to other Physician Assistant providers in Nebraska

Rank by total paid#6 of 17

Median peer was paid$29K

This provider vs. median3.9×

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	72	$3K
2019	253	$9K
2020	242	$6K
2021	367	$17K
2022	638	$24K
2023	692	$24K
2024incomplete	713	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	79%	1,936	1,306	$88K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	642	532	$20K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.3%	119	112	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.1%	106	48	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	54	26	$499.77
36415	Collection of venous blood by venipuncture	<1%	58	53	$290.10
96127		<1%	17	16	$195.07
99000		0%	45	42	$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 officialSENANAYAKA, SAMANTHA (CLINIC CREDENTIALING CONTACT)