NPI: 1023174299 · FORT WASHAKIE, WY 82514 · 261QP0904X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,412 | $4.16M |
| 2019 | 12,858 | $4.10M |
| 2020 | 9,848 | $3.59M |
| 2021 | 21,478 | $4.47M |
| 2022 | 14,479 | $4.08M |
| 2023 | 16,040 | $4.30M |
| 2024 | 4,842 | $1.37M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 55,290 | 31,977 | $25.31M |
| D9999 | 2,734 | 1,745 | $750K | |
| 99213 | 15,613 | 13,761 | $11K | |
| 90471 | 1,165 | 1,141 | $77.36 | |
| 99212 | 500 | 478 | $55.89 | |
| 87635 | 2,782 | 2,252 | $0.00 | |
| D1330 | 1,088 | 825 | $0.00 | |
| 91307 | 621 | 356 | $0.00 | |
| 0001A | 245 | 243 | $0.00 | |
| 87081 | 96 | 67 | $0.00 | |
| 81015 | 172 | 133 | $0.00 | |
| 91301 | 177 | 172 | $0.00 | |
| D1206 | 1,671 | 949 | $0.00 | |
| 90686 | 377 | 320 | $0.00 | |
| 99172 | 136 | 136 | $0.00 | |
| D1351 | 3,966 | 259 | $0.00 | |
| 99214 | 766 | 702 | $0.00 | |
| 87651 | 63 | 62 | $0.00 | |
| D1310 | 79 | 61 | $0.00 | |
| 0012A | 89 | 89 | $0.00 | |
| 80053 | 101 | 79 | $0.00 | |
| U0002 | Covid-19 lab test non-cdc | 44 | 39 | $0.00 |
| 87636 | 137 | 107 | $0.00 | |
| D0140 | 31 | 31 | $0.00 | |
| 91303 | 41 | 25 | $0.00 | |
| 0031A | 13 | 13 | $0.00 | |
| 91305 | 15 | 14 | $0.00 | |
| 0011A | 86 | 82 | $0.00 | |
| 85025 | 38 | 28 | $0.00 | |
| D0150 | 12 | 12 | $0.00 | |
| D0000 | 16 | 16 | $0.00 | |
| 87502 | 358 | 330 | $0.00 | |
| 91300 | 1,188 | 770 | $0.00 | |
| 99211 | 704 | 647 | $0.00 | |
| 99394 | 220 | 214 | $0.00 | |
| D0191 | 875 | 483 | $0.00 | |
| 81003 | 734 | 548 | $0.00 | |
| D1120 | 241 | 125 | $0.00 | |
| 92014 | 157 | 62 | $0.00 | |
| D0220 | 248 | 175 | $0.00 | |
| 99392 | 178 | 175 | $0.00 | |
| 99393 | 180 | 180 | $0.00 | |
| 99199 | 17 | 17 | $0.00 | |
| 0002A | 248 | 232 | $0.00 | |
| 92015 | 76 | 36 | $0.00 | |
| 90672 | 14 | 14 | $0.00 | |
| 85014 | 139 | 112 | $0.00 | |
| 99391 | 150 | 143 | $0.00 | |
| 83655 | 12 | 12 | $0.00 | |
| 80061 | 14 | 14 | $0.00 | |
| D0190 | 40 | 33 | $0.00 |