COWBOY MEDICAL GROUP PC
NPI: 1154836617
· WORLAND, WY 82401
· Family Medicine Physician
· NPI assigned 12/06/2017
$265K
Total Medicaid Paid
Provider Details
| Authorized Official | BOMENGEN, WADE (OWNER) |
| NPI Enumeration Date | 12/06/2017 |
Related Entities
Other providers sharing the same authorized official: BOMENGEN, WADE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
869 |
$72K |
| 2019 |
1,753 |
$149K |
| 2020 |
503 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,853 |
1,639 |
$265K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,242 |
1,135 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
28 |
$0.00 |