Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WY › Laramie › NPI 1205386281
Clinic

Laramie Pediatrics/Laramie Internal Medicine PC

Laramie Pediatrics/Laramie Internal Medicine PC was paid $76K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoLARAMIE PEDIATRICS/LARAMIE INTERNAL MEDICINE PC
LARAMIE, WY 82072
33aNPI1205386281assigned 10/13/2016
28Total paid$76K
24GClaims2,703
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018140$7K
201992$5K
202013$857.61
202114$1K
202326$1K
2024incomplete2,418$60K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43% 657 520 $33K
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 25% 249 195 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8.8% 424 369 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 6.2% 119 107 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.5% 60 56 $4K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 3.5% 932 906 $3K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.9% 22 19 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.4% 30 27 $2K
99383 1.3% 14 12 $981.97
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 14 $591.60
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 14 12 $471.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 43 26 $167.75
6 more codes
96127 <1% 20 $86.55
90656 0% 17 $0.00
90677 0% 17 $0.00
99173 0% 36 $0.00
90648 0% 19 $0.00
90715 0% 15 $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.

From NPPES

Who's on the registration

Authorized officialKODURI, VIJAYA (OWNER)
Parent organizationLARAMIE PEDIATRICS/LARAMIE INTERNAL MEDICINE PC