NPI: 1710172879 · OMAHA, NE 68107 · 251S00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 560 | $157K |
| 2019 | 445 | $180K |
| 2020 | 410 | $167K |
| 2021 | 5,266 | $1.45M |
| 2022 | 6,878 | $2.26M |
| 2023 | 7,296 | $2.46M |
| 2024 | 5,067 | $2.19M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 14,922 | 12,549 | $8.65M |
| 99213 | 3,797 | 3,439 | $105K | |
| 99214 | 1,406 | 1,271 | $44K | |
| 99212 | 477 | 446 | $19K | |
| 90837 | 627 | 340 | $17K | |
| D1999 | 469 | 432 | $4K | |
| 36415 | 1,151 | 1,088 | $3K | |
| 90471 | 249 | 233 | $2K | |
| 91322 | 21 | 21 | $2K | |
| 90686 | 172 | 166 | $2K | |
| 99204 | 42 | 41 | $1K | |
| 99211 | 287 | 256 | $1K | |
| 87635 | 407 | 361 | $974.74 | |
| 90480 | 21 | 21 | $797.33 | |
| D1206 | 781 | 740 | $122.95 | |
| 0012A | 127 | 124 | $37.25 | |
| 0013A | 13 | 13 | $36.94 | |
| D0220 | 141 | 138 | $22.52 | |
| 0011A | 87 | 87 | $16.94 | |
| 81002 | 202 | 183 | $10.44 | |
| 83036 | 147 | 139 | $9.72 | |
| D0330 | 13 | 13 | $0.00 | |
| D1110 | 27 | 27 | $0.00 | |
| 90460 | 52 | 42 | $0.00 | |
| 90791 | 12 | 12 | $0.00 | |
| D0230 | 44 | 14 | $0.00 | |
| 90792 | 12 | 12 | $0.00 | |
| 82043 | 92 | 85 | $0.00 | |
| D1330 | 89 | 89 | $0.00 | |
| 0001A | 16 | 16 | $0.00 | |
| 90834 | 19 | 13 | $0.00 |