Rock Springs Family Practice INC

Rock Springs Family Practice INC was paid $242K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoROCK SPRINGS FAMILY PRACTICE INC
ROCK SPRINGS, WY 82901

33aNPI1023169778assigned 01/16/2007

33bProvider typeFamily Medicine Physician

28Total paid$242K

24GClaims6,646

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Wyoming

Rank by total paid#12 of 56

Median peer was paid$73K

This provider vs. median3.3×

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	1,193	$44K
2019	1,155	$45K
2020	919	$36K
2021	597	$23K
2022	828	$25K
2023	1,184	$40K
2024incomplete	770	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	59%	3,084	2,568	$142K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	21%	1,265	1,047	$51K
99058		18%	1,936	1,637	$44K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	153	151	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	33	32	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	83	80	$1K
90472	Immunization administration, each additional vaccine (list separately)	<1%	12	12	$435.15
36415	Collection of venous blood by venipuncture	<1%	32	29	$35.14
90686		0%	27	27	$0.00
90658		0%	21	21	$0.00

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 officialPOYER, JAMES (ADMINISTRATOR)