Behavioral
Midtown Health Center, INC.
Midtown Health Center, INC. was paid $196K by Medicaid between Jan 2018 and Aug 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoMIDTOWN HEALTH CENTER, INC.
MADISON, NE 68748
MADISON, NE 68748
33aNPI1740516764assigned 10/27/2009
33bProvider typeMental Health Counselor
28Total paid$196K
24GClaims1,873
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Mental Health Counselor providers in Nebraska
Rank by total paid#117 of 384
Median peer was paid$81K
This provider vs. median2.4×
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 | 570 | $58K | |
| 2019 | 342 | $43K | |
| 2020 | 229 | $43K | |
| 2021 | 323 | $20K | |
| 2022 | 365 | $32K | |
| 2023 | 44 | $536.52 |
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 | 70% | 885 | 789 | $136K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 27% | 882 | 739 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 12 | 12 | $3K |
| 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 | 1.4% | 13 | 12 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | 13 | $182.05 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 13 | $181.83 |
| 90686 | <1% | 12 | 12 | $161.80 | |
| 85018 | <1% | 43 | 43 | $92.92 |
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 officialNORDBY, KATHY (CHIEF EXECUTIVE DIRECTOR)
Parent organizationMIDTOWN HEALTH CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Midtown Health Center, INC. | Norfolk, NE | $10.16M |
| Midtown Health Center, INC. | Norfolk, NE | $192K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.