SNOWY RANGE KIDNEY CARE LLC
NPI: 1306461108
· LARAMIE, WY 82072
· Nephrology Physician
· NPI assigned 06/08/2020
Provider Details
| Authorized Official | DITTRICH, MARY (OWNER) |
| NPI Enumeration Date | 06/08/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$625.36 |
| 2023 |
14 |
$542.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90962 |
|
12 |
12 |
$625.36 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$542.30 |