Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Riverton Memorial Hospital LLC

Riverton Memorial Hospital LLC was paid $4.65M by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 99283, emergency room visit (moderate) — 41% of everything it billed.

33Billing provider infoRIVERTON MEMORIAL HOSPITAL LLC
RIVERTON, WY 82501
33aNPI1245337286assigned 09/20/2006
28Total paid$4.65M
24GClaims85,609
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official TRAYLOR, JOHNETTA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
20186,947$501K
20197,558$584K
20204,947$366K
202116,706$714K
202221,160$878K
202318,121$898K
2024incomplete10,170$712K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 41% 18,286 16,699 $1.89M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 35% 12,101 9,993 $1.63M
41899 Unlisted procedure, dentoalveolar structures 18% 714 688 $849K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.1% 3,169 2,334 $189K
96361 Intravenous infusion, hydration; each additional hour <1% 964 668 $23K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 646 463 $16K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life <1% 188 118 $15K
71045 Radiologic examination, chest; single view <1% 781 506 $14K
96375 Therapeutic injection; each additional sequential IV push <1% 506 320 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 112 111 $7K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 294 230 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 43 27 $2K
35 more codes
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 41 $2K
71046 Radiologic examination, chest; 2 views <1% 55 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 630 $1K
70450 Computed tomography, head or brain; without contrast material <1% 28 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 859 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 23 $1K
80053 Comprehensive metabolic panel <1% 14,190 $806.98
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 17,048 $581.61
36415 Collection of venous blood by venipuncture <1% 89 $185.41
86140 <1% 315 $12.70
85379 <1% 330 $9.00
81001 <1% 2,902 $6.32
87400 0% 234 $0.00
J7030 Infusion, normal saline solution , 1000 cc 0% 691 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 1,066 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 488 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 0% 660 $0.00
87420 0% 87 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 1,185 $0.00
85610 0% 157 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 14 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 171 $0.00
83735 0% 1,606 $0.00
82150 0% 123 $0.00
80048 Basic metabolic panel (calcium, ionized) 0% 227 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 427 $0.00
83690 0% 2,539 $0.00
J2704 Injection, propofol, 10 mg 0% 577 $0.00
85730 0% 124 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 99 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 373 $0.00
84703 0% 30 $0.00
84484 0% 312 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 76 $0.00
87430 0% 29 $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 officialTRAYLOR, JOHNETTA (DIR LICENSE AND CERTIFICATION)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.