NPI: 1215135025 · ROCK SPRINGS, WY 82901 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,348 | $289K |
| 2019 | 16,115 | $313K |
| 2020 | 15,860 | $292K |
| 2021 | 13,183 | $276K |
| 2022 | 14,059 | $261K |
| 2023 | 14,763 | $307K |
| 2024 | 10,222 | $232K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 8,006 | 7,005 | $483K | |
| S0281 | Medical home, maintenance | 53,851 | 53,401 | $299K |
| 90460 | 5,757 | 5,425 | $257K | |
| 99392 | 2,370 | 2,300 | $199K | |
| 99391 | 2,587 | 2,416 | $193K | |
| 99214 | 1,419 | 1,335 | $123K | |
| 99393 | 1,370 | 1,335 | $115K | |
| 99212 | 1,922 | 1,720 | $71K | |
| 96110 | 3,067 | 2,818 | $67K | |
| 87632 | 137 | 133 | $34K | |
| D1206 | 813 | 759 | $23K | |
| 87502 | 162 | 157 | $16K | |
| 99394 | 170 | 167 | $16K | |
| 90651 | 109 | 98 | $11K | |
| 87426 | 196 | 187 | $10K | |
| 90633 | 728 | 706 | $8K | |
| 96127 | 1,257 | 1,162 | $6K | |
| 94760 | 2,104 | 1,954 | $6K | |
| 87635 | 123 | 122 | $5K | |
| 87880 | 232 | 220 | $3K | |
| 90734 | 32 | 24 | $3K | |
| 99381 | 31 | 30 | $3K | |
| Q3014 | Telehealth facility fee | 142 | 139 | $3K |
| S0280 | Medical home, initial plan | 861 | 860 | $3K |
| 99000 | 330 | 318 | $2K | |
| 99058 | 66 | 65 | $2K | |
| 99211 | 75 | 74 | $1K | |
| 83655 | 88 | 88 | $1K | |
| 90670 | 1,860 | 1,704 | $964.19 | |
| 36416 | 266 | 251 | $890.06 | |
| 99051 | 26 | 26 | $589.50 | |
| 90471 | 34 | 34 | $525.14 | |
| 0001A | 16 | 15 | $480.00 | |
| 0002A | 13 | 13 | $480.00 | |
| 90677 | 271 | 258 | $473.66 | |
| 90697 | 592 | 488 | $419.46 | |
| 85018 | 208 | 199 | $380.25 | |
| 80061 | 26 | 21 | $294.00 | |
| 90680 | 1,222 | 1,193 | $237.85 | |
| 96161 | 72 | 68 | $99.01 | |
| 90698 | 326 | 325 | $87.76 | |
| 90686 | 1,637 | 1,609 | $60.41 | |
| 90656 | 147 | 142 | $17.28 | |
| 90648 | 550 | 549 | $0.04 | |
| 90723 | 533 | 532 | $0.03 | |
| 99174 | 470 | 456 | $0.00 | |
| 90716 | 28 | 28 | $0.00 | |
| 90688 | 487 | 475 | $0.00 | |
| 90696 | 12 | 12 | $0.00 | |
| 90619 | 13 | 13 | $0.00 | |
| G2211 | Complex e/m visit add on | 86 | 81 | $0.00 |
| 90461 | 3,385 | 3,145 | $0.00 | |
| 91300 | 29 | 28 | $0.00 | |
| 90687 | 23 | 23 | $0.00 | |
| 90707 | 39 | 39 | $0.00 | |
| 99177 | 42 | 41 | $0.00 | |
| 96160 | 37 | 36 | $0.00 | |
| 90715 | 13 | 13 | $0.00 | |
| 90710 | 12 | 12 | $0.00 | |
| 99072 | 70 | 68 | $0.00 |