Active NPI 1174618730 Individual Practitioner Female Practitioner

Dr. Katrena Lee Lacey , MD

Pediatrics • Gretna, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Katrena Lacey, MD is a certified Pediatrics practicing in Gretna, NE. With approximately 25 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2001, Dr. Lacey delivers high-quality medical care to the local community at 11946 STANDING STONE DR.

Dr. Lacey is affiliated with Physicians Clinic Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, insertion of needle into vein for collection of blood sample, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11946 Standing Stone Dr

Gretna, NE 680288094

Telephone 4028154500

Fax 4028154510

Associated Practice Facility / Clinic

🏢 Physicians Clinic Inc Facility NPI 1841687191

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gretna, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs Matches City Avg

City Avg: 25.0 Yrs

State Avg: 17.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Gretna, NE (396 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lacey (25 Years) 25 Yrs

Gretna Specialty Average (25.0 Years) 25.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,320	13	$38.67	$25.68
36415 Insertion of needle into vein for collection of blood sample	228	138	$26.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	107	$290.00	$117.95
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	124	25	$113.00	$57.58
99213 Established patient office or other outpatient visit, typically 15 minutes	117	81	$255.00	$83.36
83036 Hemoglobin A1C level	83	66	$92.00	$9.52
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	64	55	$35.00	$7.61
77067 Screening mammography	63	63	$276.00	$82.55
77063 Screening digital tomography of both breasts	62	62	$107.85	$21.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$281.00	$119.07
G0008 Administration of influenza virus vaccine	43	40	$41.77	$29.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	41	41	$414.00	$151.52
90662 Influenza vaccine split virus, preservative free	34	34	$85.00	$81.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	14	$66.00	$13.19
90480 Admn sarscov2 vacc 1 dose	24	22	$89.25	$39.71
91320 Sarscv2 vac 30mcg trs-suc im	24	22	$389.04	$143.67
81001 Manual urinalysis test with examination using microscope, automated	23	17	$19.00	$3.11
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$687.00	$288.74
G0009 Administration of pneumococcal vaccine	22	22	$40.00	$29.78
81003 Automated urinalysis test	18	15	$19.00	$2.20
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$88.00	$12.91
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$402.00	$152.09
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	13	11	$41.00	$15.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	238	129	$26.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	111	$276.00	$117.75
99213 Established patient office or other outpatient visit, typically 15 minutes	115	78	$243.00	$83.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	96	74	$35.00	$7.61
83036 Hemoglobin A1C level	59	40	$92.00	$9.52
77063 Screening digital tomography of both breasts	55	55	$86.00	$21.83
77067 Screening mammography	55	55	$263.00	$83.77
G0009 Administration of pneumococcal vaccine	45	45	$38.76	$28.38
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	44	44	$687.00	$281.68
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	35	23	$108.00	$57.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$268.00	$119.41
G0008 Administration of influenza virus vaccine	32	32	$40.00	$28.38
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	30	30	$85.00	$75.81
96127 Assessment of emotional or behavioral problems	30	11	$51.03	$4.06
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$394.00	$152.54
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$84.00	$13.18
81001 Manual urinalysis test with examination using microscope, automated	21	17	$19.00	$3.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	11	$63.00	$13.09
81003 Automated urinalysis test	16	14	$19.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	232	132	$25.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	101	$263.00	$119.22
99213 Established patient office or other outpatient visit, typically 15 minutes	127	84	$184.23	$83.84
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	90	71	$33.00	$7.61
83036 Hemoglobin A1C level	68	49	$88.00	$9.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$255.00	$122.21
77067 Screening mammography	44	44	$242.91	$85.29
77063 Screening digital tomography of both breasts	41	41	$82.00	$21.70
G0008 Administration of influenza virus vaccine	39	39	$35.00	$27.27
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	37	37	$65.00	$63.70
81001 Manual urinalysis test with examination using microscope, automated	30	21	$18.00	$3.13
82570 Creatinine level to test for kidney function or muscle injury	20	19	$28.00	$4.89
82043 Urine microalbumin (protein) level	20	19	$63.00	$5.45
93000 Routine ekg using at least 12 leads including interpretation and report	17	15	$80.00	$13.14
71046 X-ray of chest, 2 views	17	15	$69.00	$19.77
G0009 Administration of pneumococcal vaccine	15	15	$36.00	$27.46
0124A Fee covid-19 vac 13 res	13	13	$52.00	$33.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	250	135	$18.64	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	101	$261.97	$122.82
99213 Established patient office or other outpatient visit, typically 15 minutes	107	70	$176.70	$86.60
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	96	69	$33.00	$7.70
83036 Hemoglobin A1C level	94	76	$88.00	$9.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$158.26	$117.98
G0008 Administration of influenza virus vaccine	42	41	$20.00	$15.84
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	39	39	$65.00	$64.90
77067 Screening mammography	39	39	$167.00	$88.85
77063 Screening digital tomography of both breasts	34	34	$80.00	$23.48
81001 Manual urinalysis test with examination using microscope, automated	26	20	$18.00	$3.17
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$74.36	$13.84
G0009 Administration of pneumococcal vaccine	20	20	$36.00	$15.80
81003 Automated urinalysis test	15	13	$18.00	$2.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$261.85	$160.88
82570 Creatinine level to test for kidney function or muscle injury	12	12	$28.00	$5.18
82043 Urine microalbumin (protein) level	12	12	$63.00	$5.78
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$270.90	$123.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	220	120	$15.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	104	$255.00	$102.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	88	70	$33.00	$7.57
99213 Established patient office or other outpatient visit, typically 15 minutes	80	58	$171.00	$69.69
83036 Hemoglobin A1C level	58	36	$88.00	$9.36
G0008 Administration of influenza virus vaccine	42	42	$20.00	$15.37
77067 Screening mammography	39	39	$167.00	$91.74
77063 Screening digital tomography of both breasts	36	36	$80.00	$23.23
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	33	33	$65.00	$61.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$110.72	$110.84
81001 Manual urinalysis test with examination using microscope, automated	28	19	$18.00	$3.07
82043 Urine microalbumin (protein) level	15	15	$63.00	$5.44
82570 Creatinine level to test for kidney function or muscle injury	15	15	$28.00	$4.87
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$73.00	$15.98
81003 Automated urinalysis test	12	12	$18.00	$2.25
G0009 Administration of pneumococcal vaccine	12	11	$36.00	$15.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	108	$255.00	$102.58
36415 Insertion of needle into vein for collection of blood sample	188	107	$15.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	97	69	$171.00	$70.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	52	39	$33.00	$8.46
83036 Hemoglobin A1C level	45	29	$88.00	$10.57
G0008 Administration of influenza virus vaccine	41	41	$20.00	$15.43
77067 Screening mammography	39	39	$167.00	$90.09
90653 Vaccine for influenza for injection into muscle	37	37	$59.73	$58.08
77063 Screening digital tomography of both breasts	33	33	$80.00	$22.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$110.41	$110.05
81001 Manual urinalysis test with examination using microscope, automated	21	18	$18.00	$3.45
G0009 Administration of pneumococcal vaccine	16	16	$36.00	$15.43
82570 Creatinine level to test for kidney function or muscle injury	14	14	$28.00	$5.63
77080 Dxa bone density measurement of hip, pelvis, spine	14	14	$98.00	$27.60
82043 Urine microalbumin (protein) level	14	14	$63.00	$6.29
81003 Automated urinalysis test	12	12	$18.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	106	$255.00	$99.66
36415 Insertion of needle into vein for collection of blood sample	204	108	$15.00	$2.89
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	101	77	$33.00	$9.23
83036 Hemoglobin A1C level	65	35	$88.00	$11.16
99213 Established patient office or other outpatient visit, typically 15 minutes	60	42	$171.00	$68.14
G0008 Administration of influenza virus vaccine	49	49	$20.00	$18.56
90653 Vaccine for influenza for injection into muscle	38	38	$55.00	$53.58
81001 Manual urinalysis test with examination using microscope, automated	35	26	$18.00	$3.84
77067 Screening mammography	35	35	$167.00	$90.33
77063 Screening digital tomography of both breasts	30	30	$80.00	$22.79
81003 Automated urinalysis test	29	19	$14.69	$2.71
82570 Creatinine level to test for kidney function or muscle injury	17	17	$28.00	$5.61
82043 Urine microalbumin (protein) level	17	17	$63.00	$6.27
G0009 Administration of pneumococcal vaccine	16	16	$36.00	$18.95
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$73.00	$15.62
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$98.00	$28.68
99495 Transitional care management services for problem of at least moderate complexity	12	11	$388.00	$153.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	108	$255.00	$100.08
36415 Insertion of needle into vein for collection of blood sample	184	100	$15.00	$2.89
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	91	71	$33.00	$6.17
G0008 Administration of influenza virus vaccine	52	50	$20.00	$19.22
99213 Established patient office or other outpatient visit, typically 15 minutes	51	37	$171.00	$67.22
83036 Hemoglobin A1C level	45	29	$86.13	$12.21
81001 Manual urinalysis test with examination using microscope, automated	39	29	$18.00	$4.26
90662 Influenza vaccine split virus, preservative free	38	36	$55.00	$46.30
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	33	33	$167.00	$89.32
G0009 Administration of pneumococcal vaccine	29	29	$35.86	$23.36
90670 Pneumococcal vaccine for injection into muscle	18	18	$403.67	$185.64
82570 Creatinine level to test for kidney function or muscle injury	14	14	$28.00	$6.46
82043 Urine microalbumin (protein) level	14	14	$63.00	$7.21
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$26.54	$18.65
77080 Dxa bone density measurement of hip, pelvis, spine	13	13	$98.00	$27.62
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$197.18	$94.49

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NE 23157

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NE 23157

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

47068731741 (NE)

Medicaid State Provider ID

10026480100 (NE)

Medicaid State Provider ID

47068731734 (NE)

Medicaid State Provider ID

47068731749 (NE)

Medicaid State Provider ID

47068731706 (NE)

Hospital & Practice Group Affiliations

Physicians Clinic Inc

11946 Standing Stone Dr, Gretna, NE 680288094

Phone: 4028154500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dr. Priscilla Lacroix , DO

Pediatrics

NPI 1134583024

Doctor of Osteopathic Medicine (D.O.)

Dr. Amanda Buskevicius , MD

Obstetrics & Gynecology

NPI 1336450899

Doctor of Medicine (M.D.)

Dr. Ryan Isherwood , MD

Family Medicine

NPI 1346446234

Doctor of Medicine (M.D.)

Dr. Aimee Probasco , DO

Obstetrics & Gynecology

NPI 1508085929

Doctor of Osteopathic Medicine (D.O.)

Dr. Shannon Godsil , MD

Pediatrics

NPI 1518306414

Doctor of Medicine (M.D.)

Sirenia Knight , APRN-NP

Nurse Practitioner

NPI 1568617504

APRNNP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2015

Registered at 11946 STANDING STONE DR, GRETNA, NE 680288094 (Tel: 4028154500)

📍

Updated Business Mailing Address October 02, 2015

Registered at PO BOX 3755, OMAHA, NE 681030755 (Tel: 4023542100)

👤

Provider Name / Credentials Updated October 02, 2015

Recorded as KATRENA LACEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2015

Internal Medicine (License #23157 in NE)

🟢

Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174618730

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 03, 2006

Last Update: October 02, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3755

Omaha, NE 681030755

Phone: 4023542100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.