WAYNE V VIDETICH DPM PC
NPI: 1922268234
· LINCOLN, NE 68502
· 261QP1100X
$137K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
794 |
$27K |
| 2019 |
988 |
$28K |
| 2020 |
546 |
$17K |
| 2021 |
332 |
$11K |
| 2022 |
807 |
$22K |
| 2023 |
531 |
$16K |
| 2024 |
572 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
2,858 |
2,821 |
$100K |
| 11056 |
|
1,031 |
1,023 |
$26K |
| 11055 |
|
329 |
324 |
$6K |
| 11730 |
|
221 |
214 |
$5K |
| 11719 |
|
119 |
117 |
$774.43 |
| 11305 |
|
12 |
12 |
$203.14 |