Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BANNER HEALTH PHYSICIANS WEST LLC

NPI: 1063778728 · TORRINGTON, WY 82240 · Multi-Specialty Clinic/Center · NPI assigned 04/06/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BIRDI, SHIVA controls 19+ related entities in our dataset. Read more

$368K
Total Medicaid Paid
13,043
Total Claims
11,688
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIRDI, SHIVA (CEO BMG)
Parent OrganizationBANNER MEDICAL GROUP
NPI Enumeration Date04/06/2012

Related Entities

Other providers sharing the same authorized official: BIRDI, SHIVA

ProviderCityStateTotal Paid
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC PHOENIX AZ $36.91M
BANNER CHILDRENS BANNER HEALTH CLINIC LLC PHOENIX AZ $29.69M
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC PHOENIX AZ $23.95M
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $14.77M
NORTH COLORADO FAMILY MEDICINE GREELEY CO $5.11M
BANNER CANCER CENTER SPECIALISTS LLC PHOENIX AZ $3.52M
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC GREELEY CO $1.23M
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $541K
TOCA AT BANNER HEALTH LLC PHOENIX AZ $534K
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $361K
BANNER HEALTH PHYSICIANS WEST LLC FALLON NV $233K
BANNER HEALTH PHYSICIANS COLORADO LLC GREELEY CO $64K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC BRUSH CO $52K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC STERLING CO $44K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC LOVELAND CO $39K
BANNER HEALTH PHYSICIANS WEST LLC OGALLALA NE $23K
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $5K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC FORT COLLINS CO $5K
BANNER HEALTH PHYSICIANS COLORADO LLC BRUSH CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33 $2K
2019 103 $7K
2020 156 $9K
2021 93 $6K
2022 586 $26K
2023 3,837 $95K
2024 8,235 $222K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,888 5,346 $258K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 980 858 $51K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 643 625 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 960 694 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 546 537 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 50 49 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 55 52 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 131 120 $2K
90472 Immunization administration, each additional vaccine (list separately) 30 28 $1K
99232 Subsequent hospital care, per day, moderate complexity 30 13 $495.61
90686 18 16 $259.70
90473 12 12 $113.16
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 15 13 $16.98
3078F 544 499 $0.00
1159F 513 454 $0.00
1160F 521 464 $0.00
90671 12 12 $0.00
4040F 58 54 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 78 70 $0.00
99499 39 36 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 30 25 $0.00
3074F 774 720 $0.00
1111F 1,013 894 $0.00
90680 12 12 $0.00
4037F 14 14 $0.00
90656 33 33 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 32 26 $0.00
90697 12 12 $0.00