NPI: 1013916519 · EVANSTON, WY 82930 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,767 | $57K |
| 2019 | 1,314 | $52K |
| 2020 | 1,335 | $64K |
| 2021 | 1,452 | $62K |
| 2022 | 1,671 | $65K |
| 2023 | 7,176 | $77K |
| 2024 | 5,669 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 6,004 | 5,477 | $282K | |
| 99214 | 1,213 | 1,127 | $73K | |
| 99391 | 424 | 346 | $30K | |
| 90460 | 508 | 475 | $25K | |
| 87426 | 381 | 351 | $16K | |
| 87502 | 57 | 56 | $5K | |
| 99392 | 59 | 57 | $5K | |
| 87880 | 379 | 326 | $3K | |
| 20610 | 39 | 37 | $2K | |
| 99203 | 26 | 26 | $2K | |
| 76801 | 14 | 13 | $2K | |
| 83655 | 121 | 81 | $1K | |
| 83036 | 136 | 94 | $819.28 | |
| 87651 | 21 | 19 | $662.10 | |
| 90471 | 54 | 52 | $657.98 | |
| 96110 | 27 | 27 | $562.68 | |
| 99212 | 16 | 14 | $417.29 | |
| 80305 | 54 | 50 | $417.10 | |
| 99188 | 27 | 27 | $405.00 | |
| 99211 | 19 | 17 | $316.04 | |
| 90686 | 105 | 78 | $264.46 | |
| 87804 | 16 | 16 | $235.20 | |
| 99441 | 14 | 14 | $201.18 | |
| G0127 | Trim nail(s) | 39 | 39 | $125.49 |
| 1159F | 2,052 | 1,776 | $0.00 | |
| 1160F | 2,052 | 1,776 | $0.00 | |
| 3078F | 992 | 923 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 366 | 330 | $0.00 |
| 90461 | 138 | 135 | $0.00 | |
| G8938 | Bmi doc onl fup nt doc | 222 | 202 | $0.00 |
| 0502F | 635 | 464 | $0.00 | |
| 90670 | 14 | 14 | $0.00 | |
| 3074F | 1,297 | 1,193 | $0.00 | |
| 1036F | 1,347 | 1,192 | $0.00 | |
| 3008F | 1,383 | 1,232 | $0.00 | |
| 1126F | 23 | 19 | $0.00 | |
| 90698 | 13 | 13 | $0.00 | |
| 90697 | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 47 | 24 | $0.00 |
| 90677 | 12 | 12 | $0.00 | |
| 3079F | 12 | 12 | $0.00 | |
| 1034F | 14 | 13 | $0.00 |