EVANSTON HOSPITAL CORPORATION
NPI: 1134666944
· LYMAN, WY 82937
· 261QR1300X
$125K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
142 |
$17K |
| 2019 |
257 |
$25K |
| 2020 |
175 |
$20K |
| 2021 |
207 |
$23K |
| 2022 |
221 |
$17K |
| 2023 |
167 |
$17K |
| 2024 |
54 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
917 |
770 |
$125K |
| 99214 |
|
140 |
122 |
$678.09 |
| 99213 |
|
166 |
139 |
$105.34 |