Clinic
Sweetwater Pediatrics P.C.
Sweetwater Pediatrics P.C. was paid $1.97M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoSWEETWATER PEDIATRICS P.C.
ROCK SPRINGS, WY 82901
ROCK SPRINGS, WY 82901
33aNPI1215135025assigned 07/03/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$1.97M
24GClaims100,550
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Wyoming
Rank by total paid#1 of 6
Median peer was paid$12K
This provider vs. median170×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | 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 | |
| 2024incomplete | 10,222 | $232K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 8,006 | 7,005 | $483K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 15% | 53,851 | 53,401 | $299K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 5,757 | 5,425 | $257K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 2,370 | 2,300 | $199K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.8% | 2,587 | 2,416 | $193K |
| 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 | 6.3% | 1,419 | 1,335 | $123K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 1,370 | 1,335 | $115K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 1,922 | 1,720 | $71K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 3,067 | 2,818 | $67K |
| 87632 | 1.7% | 137 | 133 | $34K | |
| D1206 | Topical application of fluoride varnish | 1.2% | 813 | 759 | $23K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 162 | 157 | $16K |
48 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 170 | $16K |
| 90651 | <1% | 109 | $11K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 196 | $10K |
| 90633 | <1% | 728 | $8K | |
| 96127 | <1% | 1,257 | $6K | |
| 94760 | <1% | 2,104 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 123 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 232 | $3K |
| 90734 | <1% | 32 | $3K | |
| 99381 | <1% | 31 | $3K | |
| Q3014 | Telehealth originating site facility fee | <1% | 142 | $3K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 861 | $3K |
| 99000 | <1% | 330 | $2K | |
| 99058 | <1% | 66 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 75 | $1K |
| 83655 | <1% | 88 | $1K | |
| 90670 | <1% | 1,860 | $964.19 | |
| 36416 | <1% | 266 | $890.06 | |
| 99051 | <1% | 26 | $589.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $525.14 |
| 0001A | <1% | 16 | $480.00 | |
| 0002A | <1% | 13 | $480.00 | |
| 90677 | <1% | 271 | $473.66 | |
| 90697 | <1% | 592 | $419.46 | |
| 85018 | <1% | 208 | $380.25 | |
| 80061 | Lipid panel | <1% | 26 | $294.00 |
| 90680 | <1% | 1,222 | $237.85 | |
| 96161 | <1% | 72 | $99.01 | |
| 90698 | <1% | 326 | $87.76 | |
| 90686 | <1% | 1,637 | $60.41 | |
| 90656 | <1% | 147 | $17.28 | |
| 90648 | <1% | 550 | $0.04 | |
| 90723 | <1% | 533 | $0.03 | |
| 99174 | 0% | 470 | $0.00 | |
| 90716 | 0% | 28 | $0.00 | |
| 90688 | 0% | 487 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 86 | $0.00 |
| 90461 | 0% | 3,385 | $0.00 | |
| 91300 | 0% | 29 | $0.00 | |
| 90687 | 0% | 23 | $0.00 | |
| 90707 | 0% | 39 | $0.00 | |
| 99177 | 0% | 42 | $0.00 | |
| 96160 | 0% | 37 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 99072 | 0% | 70 | $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 officialYESHLUR, CHANDRASHEKAR (PRESIDENT)