NPI: 1285006379 · ARAPAHOE, WY 82510 · 261QP0904X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26,971 | $7.45M |
| 2019 | 22,342 | $6.90M |
| 2020 | 36,139 | $10.75M |
| 2021 | 45,963 | $12.96M |
| 2022 | 49,394 | $17.97M |
| 2023 | 45,321 | $18.21M |
| 2024 | 51,068 | $19.55M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 162,985 | 94,572 | $87.89M |
| D9999 | 10,656 | 9,692 | $5.85M | |
| D8999 | 64 | 36 | $23K | |
| 99213 | 46,927 | 40,985 | $22K | |
| 99214 | 7,956 | 7,108 | $7K | |
| 87804 | 14 | 14 | $1K | |
| 90853 | 498 | 256 | $519.00 | |
| 99212 | 12,595 | 10,668 | $408.57 | |
| 92012 | 266 | 258 | $241.86 | |
| 90471 | 1,240 | 1,208 | $217.56 | |
| 92014 | 1,228 | 1,203 | $133.11 | |
| 90837 | 2,610 | 1,295 | $82.09 | |
| 99211 | 1,098 | 1,051 | $43.57 | |
| 92004 | 264 | 262 | $13.40 | |
| 99442 | 131 | 110 | $1.33 | |
| 97110 | 248 | 85 | $0.00 | |
| 81025 | 12 | 12 | $0.00 | |
| 81003 | 2,104 | 1,495 | $0.00 | |
| 87880 | 680 | 628 | $0.00 | |
| 99394 | 554 | 539 | $0.00 | |
| 87502 | 1,249 | 1,229 | $0.00 | |
| 99392 | 239 | 222 | $0.00 | |
| 99393 | 551 | 526 | $0.00 | |
| 90472 | 100 | 94 | $0.00 | |
| D0191 | 385 | 383 | $0.00 | |
| 91312 | 30 | 30 | $0.00 | |
| D0220 | 915 | 883 | $0.00 | |
| 91300 | 1,312 | 1,184 | $0.00 | |
| 0071A | 36 | 36 | $0.00 | |
| D0145 | 41 | 41 | $0.00 | |
| D1110 | 56 | 55 | $0.00 | |
| 99391 | 177 | 169 | $0.00 | |
| 90832 | 318 | 179 | $0.00 | |
| D2391 | 277 | 175 | $0.00 | |
| D0274 | 158 | 157 | $0.00 | |
| 92015 | 35 | 35 | $0.00 | |
| D0190 | 339 | 320 | $0.00 | |
| D1120 | 50 | 50 | $0.00 | |
| 90849 | 53 | 31 | $0.00 | |
| 85014 | 41 | 37 | $0.00 | |
| 90791 | 31 | 31 | $0.00 | |
| 99201 | 13 | 13 | $0.00 | |
| 99401 | 14 | 12 | $0.00 | |
| D8660 | 33 | 33 | $0.00 | |
| D0330 | 17 | 14 | $0.00 | |
| 98960 | 412 | 116 | $0.00 | |
| 90833 | 35 | 32 | $0.00 | |
| 80061 | 13 | 13 | $0.00 | |
| 86703 | 23 | 23 | $0.00 | |
| 87491 | 12 | 12 | $0.00 | |
| 90834 | 374 | 258 | $0.00 | |
| D1206 | 1,859 | 1,750 | $0.00 | |
| 87635 | 7,055 | 6,603 | $0.00 | |
| D7140 | 263 | 185 | $0.00 | |
| D0140 | 1,116 | 1,066 | $0.00 | |
| D0120 | 229 | 223 | $0.00 | |
| 87651 | 1,880 | 1,796 | $0.00 | |
| 83036 | 58 | 58 | $0.00 | |
| 91305 | 504 | 490 | $0.00 | |
| D1330 | 457 | 456 | $0.00 | |
| D0150 | 1,377 | 1,342 | $0.00 | |
| D2392 | 305 | 176 | $0.00 | |
| D0230 | 366 | 241 | $0.00 | |
| 80053 | 235 | 217 | $0.00 | |
| 92002 | 44 | 38 | $0.00 | |
| 99202 | 12 | 12 | $0.00 | |
| D0210 | 175 | 171 | $0.00 | |
| 91307 | 603 | 544 | $0.00 | |
| 90651 | 32 | 27 | $0.00 | |
| 87591 | 12 | 12 | $0.00 | |
| 99510 | 326 | 168 | $0.00 | |
| 85025 | 105 | 95 | $0.00 | |
| 91301 | 57 | 57 | $0.00 | |
| 99000 | 22 | 22 | $0.00 | |
| D0272 | 172 | 169 | $0.00 | |
| 81005 | 31 | 31 | $0.00 | |
| 36415 | 156 | 136 | $0.00 | |
| D1351 | 69 | 32 | $0.00 | |
| 99441 | 108 | 90 | $0.00 | |
| 90656 | 22 | 18 | $0.00 | |
| 96372 | 13 | 13 | $0.00 | |
| 81015 | 14 | 14 | $0.00 | |
| H0038 | Self-help/peer svc per 15min | 16 | 13 | $0.00 |
| 90619 | 12 | 12 | $0.00 | |
| D8670 | 24 | 13 | $0.00 |