Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COUNTY OF CONVERSE

NPI: 1255438651 · DOUGLAS, WY 82633 · Public Health or Welfare Agency · NPI assigned 09/20/2006

$17K
Total Medicaid Paid
587
Total Claims
535
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHISER, ANDREA (OFFICE MANAGER)
NPI Enumeration Date09/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 95 $5K
2019 124 $5K
2020 16 $490.00
2021 34 $1K
2022 17 $760.00
2023 133 $2K
2024 168 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 323 280 $10K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 53 53 $6K
90688 54 54 $275.07
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $116.04
90656 15 15 $10.00
90461 86 81 $0.00
90715 14 13 $0.00
90686 18 15 $0.00
90651 12 12 $0.00