Physician
Innovative Community Health Institute LLC
Innovative Community Health Institute LLC was paid $504K by Medicaid between Apr 2019 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoINNOVATIVE COMMUNITY HEALTH INSTITUTE LLC
LINCOLN, NE 68521
LINCOLN, NE 68521
33aNPI1851859334assigned 03/04/2019
33bProvider typeFamily Medicine Physician
28Total paid$504K
24GClaims11,440
24DCodes billed33
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Nebraska
Rank by total paid#38 of 121
Median peer was paid$156K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2019 | 951 | $39K | |
| 2020 | 1,305 | $66K | |
| 2021 | 1,878 | $99K | |
| 2022 | 2,532 | $110K | |
| 2023 | 2,819 | $107K | |
| 2024incomplete | 1,955 | $82K |
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 | 46% | 2,948 | 2,484 | $233K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 3,339 | 2,792 | $184K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.5% | 622 | 565 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 91 | 91 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 88 | 86 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 329 | 296 | $9K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 1,447 | 1,227 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 362 | 344 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 45 | 39 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 40 | 38 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 656 | 607 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 386 | 351 | $2K |
21 more codes
| 90686 | <1% | 105 | $2K | |
| 90688 | <1% | 79 | $2K | |
| 86756 | <1% | 75 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $678.56 |
| 80050 | General health panel | <1% | 15 | $602.39 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 13 | $599.36 |
| 96127 | <1% | 59 | $540.62 | |
| 90658 | <1% | 41 | $437.84 | |
| 80053 | Comprehensive metabolic panel | <1% | 44 | $325.03 |
| 80061 | Lipid panel | <1% | 34 | $281.74 |
| 90687 | <1% | 14 | $257.66 | |
| 90670 | <1% | 14 | $237.84 | |
| 90661 | <1% | 12 | $174.74 | |
| 81001 | <1% | 50 | $118.34 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 115 | $36.88 |
| 81003 | <1% | 15 | $27.39 | |
| 99000 | 0% | 39 | $0.00 | |
| 99172 | 0% | 157 | $0.00 | |
| 97802 | 0% | 99 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 61 | $0.00 |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 18 | $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 officialGUTIERREZ, JOSUE (PRESIDENT/OWNER)
Parent organizationINNOVATIVE COMMUNITY HEALTH INSTITUTE LLC