NPI: 1285621839 · CHEYENNE, WY 82001 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,666 | $594K |
| 2019 | 16,304 | $620K |
| 2020 | 9,865 | $370K |
| 2021 | 15,618 | $424K |
| 2022 | 24,961 | $651K |
| 2023 | 24,327 | $684K |
| 2024 | 17,648 | $631K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 16,788 | 15,707 | $1.69M | |
| 99282 | 10,804 | 10,075 | $673K | |
| 99214 | 9,792 | 8,725 | $472K | |
| 97597 | 5,647 | 1,799 | $194K | |
| 99284 | 1,435 | 1,364 | $192K | |
| 96374 | 2,114 | 1,942 | $138K | |
| 99213 | 1,848 | 1,634 | $92K | |
| 96361 | 1,549 | 1,444 | $86K | |
| 90833 | 3,776 | 3,446 | $70K | |
| G0463 | Hospital outpt clinic visit | 2,928 | 1,904 | $62K |
| 99285 | 188 | 178 | $37K | |
| 99233 | Prolong inpt eval add15 m | 921 | 356 | $35K |
| 90791 | 314 | 298 | $31K | |
| 99223 | Prolong inpt eval add15 m | 376 | 339 | $27K |
| 90792 | 191 | 191 | $27K | |
| 80053 | 14,389 | 12,479 | $22K | |
| 96375 | 909 | 851 | $21K | |
| 0241U | 217 | 203 | $21K | |
| 90785 | 1,378 | 1,295 | $14K | |
| 71045 | 368 | 337 | $10K | |
| 36415 | 16,883 | 14,601 | $10K | |
| 85025 | 19,134 | 16,665 | $6K | |
| 74177 | 59 | 53 | $6K | |
| 96365 | 75 | 75 | $5K | |
| 99232 | 114 | 53 | $4K | |
| 99238 | 67 | 50 | $3K | |
| 84443 | 651 | 579 | $3K | |
| 87591 | 60 | 60 | $3K | |
| 87491 | 60 | 60 | $3K | |
| 80307 | 422 | 338 | $2K | |
| 99239 | 55 | 49 | $2K | |
| 99460 | 49 | 38 | $2K | |
| 99215 | Prolong outpt/office vis | 32 | 31 | $2K |
| 93005 | 4,753 | 4,225 | $2K | |
| 97803 | 39 | 36 | $2K | |
| 90834 | 25 | 14 | $2K | |
| 59025 | 13 | 12 | $1K | |
| 87811 | 66 | 54 | $1K | |
| 99231 | 79 | 28 | $851.95 | |
| 82306 | 25 | 25 | $842.06 | |
| 84439 | 125 | 119 | $817.55 | |
| 99349 | 26 | 25 | $756.14 | |
| 80061 | 98 | 87 | $667.23 | |
| 87081 | 134 | 124 | $589.80 | |
| 86803 | 39 | 36 | $507.92 | |
| 82728 | 27 | 27 | $417.50 | |
| 83036 | 112 | 107 | $377.65 | |
| 85027 | 294 | 245 | $373.67 | |
| 84484 | 220 | 202 | $327.11 | |
| 87633 | 62 | 61 | $279.88 | |
| 99212 | 15 | 12 | $229.45 | |
| 87086 | 70 | 66 | $224.55 | |
| 86140 | 57 | 56 | $176.58 | |
| 82607 | 12 | 12 | $154.22 | |
| 87070 | 125 | 98 | $142.60 | |
| 80048 | 143 | 130 | $110.02 | |
| 87798 | 62 | 61 | $87.76 | |
| 80076 | 13 | 13 | $83.16 | |
| 82565 | 25 | 25 | $67.16 | |
| 85652 | 41 | 40 | $50.74 | |
| 87581 | 62 | 61 | $43.88 | |
| 87486 | 62 | 61 | $43.88 | |
| 87804 | 374 | 371 | $32.36 | |
| 83615 | 31 | 24 | $28.67 | |
| 81001 | 2,593 | 2,433 | $28.46 | |
| 81003 | 277 | 247 | $25.19 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 474 | 431 | $10.80 |
| 81025 | 247 | 238 | $8.62 | |
| 85610 | 112 | 106 | $4.00 | |
| P9604 | One-way allow prorated trip | 514 | 384 | $0.00 |
| J2405 | Ondansetron hcl injection | 248 | 230 | $0.00 |
| 87880 | 41 | 41 | $0.00 | |
| G1004 | Cdsm ndsc | 29 | 26 | $0.00 |
| J1885 | Ketorolac tromethamine inj | 154 | 144 | $0.00 |
| 83690 | 596 | 565 | $0.00 | |
| 87205 | 88 | 64 | $0.00 | |
| J2704 | Inj, propofol, 10 mg | 14 | 12 | $0.00 |
| 85730 | 30 | 30 | $0.00 | |
| J0131 | Inj, acetaminophen (nos) | 48 | 46 | $0.00 |
| 83735 | 12 | 12 | $0.00 | |
| J1642 | Inj heparin sodium per 10 u | 77 | 14 | $0.00 |
| 96372 | 13 | 12 | $0.00 |