NPI: 1275674608 · CASPER, WY 82601 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 421 | $25K |
| 2019 | 611 | $46K |
| 2020 | 506 | $21K |
| 2021 | 1,395 | $33K |
| 2022 | 1,311 | $71K |
| 2023 | 940 | $58K |
| 2024 | 536 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99349 | 1,619 | 1,420 | $170K | |
| 99348 | 918 | 786 | $66K | |
| 90460 | 615 | 600 | $23K | |
| 0001A | 285 | 273 | $6K | |
| 0002A | 289 | 265 | $6K | |
| 99350 | Prolong home eval add 15m | 26 | 25 | $3K |
| 87800 | 75 | 70 | $3K | |
| 99211 | 171 | 152 | $3K | |
| 0003A | 196 | 181 | $2K | |
| 0241U | 12 | 12 | $1K | |
| 99342 | 12 | 12 | $950.88 | |
| 90471 | 80 | 80 | $810.09 | |
| 0124A | 158 | 125 | $720.00 | |
| 90715 | 126 | 125 | $645.70 | |
| J1050 | Medroxyprogesterone acetate | 18 | 12 | $588.18 |
| 0012A | 36 | 36 | $280.00 | |
| 96372 | 18 | 12 | $220.00 | |
| 0011A | 20 | 20 | $160.00 | |
| 0013A | 12 | 12 | $160.00 | |
| 81025 | 16 | 16 | $112.06 | |
| 90656 | 13 | 12 | $60.00 | |
| 90480 | 35 | 32 | $60.00 | |
| 90686 | 268 | 264 | $0.00 | |
| 91301 | 15 | 15 | $0.00 | |
| G0008 | Admin influenza virus vac | 58 | 58 | $0.00 |
| 99000 | 27 | 14 | $0.00 | |
| 90461 | 294 | 284 | $0.00 | |
| 91300 | 215 | 179 | $0.00 | |
| 90710 | 13 | 13 | $0.00 | |
| 90707 | 12 | 12 | $0.00 | |
| 91312 | 31 | 29 | $0.00 | |
| 91320 | 20 | 18 | $0.00 | |
| 90662 | 17 | 17 | $0.00 |