NPI: 1942513494 · OMAHA, NE 68107 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 592 | $95K |
| 2019 | 535 | $87K |
| 2020 | 595 | $82K |
| 2021 | 632 | $55K |
| 2022 | 492 | $45K |
| 2023 | 626 | $69K |
| 2024 | 1,115 | $103K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 2,326 | 2,063 | $371K | |
| 99212 | 620 | 603 | $99K | |
| T1015 | Clinic service | 275 | 273 | $33K |
| 99394 | 101 | 101 | $12K | |
| 99393 | 59 | 59 | $9K | |
| 99177 | 553 | 541 | $3K | |
| 90686 | 278 | 275 | $3K | |
| H0046 | Mental health service, nos | 39 | 36 | $2K |
| 90656 | 73 | 73 | $808.59 | |
| 0071A | 17 | 17 | $633.25 | |
| 90651 | 57 | 57 | $611.52 | |
| 0001A | 17 | 17 | $572.32 | |
| 87426 | 28 | 28 | $565.28 | |
| 87428 | 14 | 14 | $309.40 | |
| 87880 | 12 | 12 | $148.77 | |
| 99173 | 63 | 63 | $111.39 | |
| 87804 | 14 | 14 | $99.30 | |
| 85018 | 41 | 40 | $49.77 |