Physician
Snowy Range Kidney Care LLC
Snowy Range Kidney Care LLC was paid $1K by Medicaid between Dec 2022 and May 2023, across 2 billing codes. Its largest line is 90962, — 54% of everything it billed.
33Billing provider infoSNOWY RANGE KIDNEY CARE LLC
LARAMIE, WY 82072
LARAMIE, WY 82072
33aNPI1306461108assigned 06/08/2020
33bProvider typeNephrology Physician
28Total paid$1K
24GClaims26
24DCodes billed2
24AFirst – last monthDec 2022 – May 2023
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 12 | $625.36 | |
| 2023 | 14 | $542.30 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90962 | 54% | 12 | 12 | $625.36 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 46% | 14 | 14 | $542.30 |
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 officialDITTRICH, MARY (OWNER)