ROCKY MOUNTAIN FAMILY MEDICINE LLC
NPI: 1164650719
· CASPER, WY 82601
· 261QP2300X
$103K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
668 |
$22K |
| 2019 |
442 |
$16K |
| 2020 |
350 |
$7K |
| 2021 |
469 |
$8K |
| 2022 |
354 |
$10K |
| 2023 |
1,213 |
$26K |
| 2024 |
563 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
|
1,939 |
1,299 |
$34K |
| 99213 |
|
571 |
488 |
$26K |
| 99309 |
|
844 |
650 |
$20K |
| 99214 |
|
364 |
292 |
$20K |
| 90460 |
|
82 |
51 |
$1K |
| 99490 |
Ccm add 20min |
135 |
99 |
$937.29 |
| 99305 |
|
12 |
12 |
$290.04 |
| 90686 |
|
44 |
40 |
$206.96 |
| 87804 |
|
15 |
12 |
$171.96 |
| 0004A |
|
37 |
37 |
$80.00 |
| G0439 |
Ppps, subseq visit |
16 |
16 |
$0.00 |