NPI: 1205308855 · LANDER, WY 82520 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,159 | $352K |
| 2020 | 1,987 | $345K |
| 2021 | 2,869 | $399K |
| 2022 | 8,409 | $590K |
| 2023 | 7,270 | $594K |
| 2024 | 6,730 | $532K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 9,035 | 7,606 | $2.73M |
| S0281 | Medical home, maintenance | 11,451 | 11,390 | $66K |
| 99204 | 30 | 30 | $5K | |
| 99214 | 3,308 | 2,911 | $4K | |
| 99213 | 2,495 | 2,212 | $546.82 | |
| 87428 | 618 | 583 | $334.80 | |
| 87880 | 628 | 593 | $151.41 | |
| 99394 | 334 | 306 | $95.60 | |
| 96127 | 314 | 281 | $16.41 | |
| 86328 | 49 | 47 | $0.00 | |
| 90460 | 587 | 550 | $0.00 | |
| 99393 | 198 | 172 | $0.00 | |
| 99212 | 81 | 77 | $0.00 | |
| 87804 | 143 | 138 | $0.00 | |
| 99392 | 12 | 12 | $0.00 | |
| 90461 | 13 | 13 | $0.00 | |
| 87807 | 61 | 58 | $0.00 | |
| 90619 | 26 | 26 | $0.00 | |
| 36415 | 12 | 12 | $0.00 | |
| 90651 | 29 | 29 | $0.00 |