NPI: 1902287261 · FREMONT, NE 68025 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 686 | $41K |
| 2019 | 1,304 | $134K |
| 2020 | 2,069 | $322K |
| 2021 | 5,799 | $846K |
| 2022 | 8,749 | $1.05M |
| 2023 | 7,676 | $982K |
| 2024 | 6,546 | $835K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 11,625 | 7,334 | $1.77M |
| 99213 | 7,509 | 6,730 | $1.18M | |
| 99214 | 2,986 | 2,699 | $618K | |
| 90837 | 1,792 | 842 | $296K | |
| 99212 | 1,123 | 926 | $231K | |
| G0467 | Fqhc visit, estab pt | 1,002 | 817 | $43K |
| 99203 | 74 | 71 | $17K | |
| 90792 | 116 | 101 | $12K | |
| D1999 | 1,250 | 1,042 | $11K | |
| 36415 | 1,062 | 1,021 | $7K | |
| D0150 | 1,017 | 1,013 | $6K | |
| 90834 | 18 | 13 | $4K | |
| D1206 | 441 | 401 | $3K | |
| D1120 | 166 | 166 | $3K | |
| 90688 | 152 | 149 | $2K | |
| 99392 | 28 | 28 | $2K | |
| 99393 | 12 | 12 | $1K | |
| D0220 | 843 | 824 | $1K | |
| D0140 | 397 | 387 | $1K | |
| 83036 | 146 | 142 | $1K | |
| 99391 | 14 | 13 | $845.28 | |
| 96127 | 21 | 19 | $652.50 | |
| D0120 | 129 | 126 | $622.60 | |
| D7140 | 184 | 81 | $618.03 | |
| 99384 | 16 | 16 | $563.52 | |
| D1110 | 81 | 81 | $403.92 | |
| 90471 | 32 | 29 | $156.60 | |
| 90670 | 13 | 13 | $141.96 | |
| 3078F | 15 | 13 | $0.05 | |
| D0274 | 67 | 66 | $0.00 | |
| D0330 | 18 | 18 | $0.00 | |
| D2391 | 15 | 12 | $0.00 | |
| D0210 | 205 | 203 | $0.00 | |
| D0230 | 131 | 75 | $0.00 | |
| D0999 | 115 | 92 | $0.00 | |
| D2392 | 14 | 12 | $0.00 |