South Big Horn County Hospital District

South Big Horn County Hospital District was paid $11K by Medicaid between Jan 2018 and Oct 2023, across 7 billing codes. Its largest line is G0382, Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) — 77% of everything it billed.

Compared with peers

Next to other General Practice Physician providers in Wyoming

Rank by total paid#8 of 11

Median peer was paid$13K

This provider vs. median0.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	40	$9K
2019	14	$2K
2021	139	$735.75
2023	19	$279.30

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0382	Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)	77%	40	36	$9K
G0381	Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)	14%	14	14	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	6.0%	19	16	$673.50
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.5%	19	17	$279.30
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	56	45	$28.80
80053	Comprehensive metabolic panel	<1%	47	39	$25.92
36415	Collection of venous blood by venipuncture	<1%	17	14	$7.53

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialJACKSON, JOEL (CHIEF EXECUTIVE OFFICER)

Parent organizationSOUTH BIG HORN COUNTY HOSPITAL DISTRICT

Same official

Other billing entities under JACKSON, JOEL

Full network →

Provider	Location	Paid
South Big Horn County Hospital District	Basin, WY	$336K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.