Banner Health Physicians West LLC
Banner Health Physicians West LLC was paid $368K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
TORRINGTON, WY 82240
Next to other Multi-Specialty Clinic/Center providers in Wyoming
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 33 | $2K | |
| 2019 | 103 | $7K | |
| 2020 | 156 | $9K | |
| 2021 | 93 | $6K | |
| 2022 | 586 | $26K | |
| 2023 | 3,837 | $95K | |
| 2024incomplete | 8,235 | $222K |
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 | 70% | 5,888 | 5,346 | $258K |
| 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 | 14% | 980 | 858 | $51K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.3% | 643 | 625 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.2% | 960 | 694 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 546 | 537 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 50 | 49 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 55 | 52 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 131 | 120 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 30 | 28 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 30 | 13 | $495.61 |
| 90686 | <1% | 18 | 16 | $259.70 | |
| 90473 | <1% | 12 | 12 | $113.16 |
16 more codes
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 15 | $16.98 |
| 3078F | 0% | 544 | $0.00 | |
| 1159F | 0% | 513 | $0.00 | |
| 1160F | 0% | 521 | $0.00 | |
| 90671 | 0% | 12 | $0.00 | |
| 4040F | 0% | 58 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 78 | $0.00 |
| 99499 | 0% | 39 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 30 | $0.00 |
| 3074F | 0% | 774 | $0.00 | |
| 1111F | 0% | 1,013 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 4037F | 0% | 14 | $0.00 | |
| 90656 | 0% | 33 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 32 | $0.00 |
| 90697 | 0% | 12 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.