Cody Surgical Associates LLC

Cody Surgical Associates LLC was paid $22K by Medicaid between May 2020 and Feb 2022, across 5 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 37% of everything it billed.

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
2020	283	$7K
2021	424	$9K
2022	169	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	37%	94	90	$8K
95117		25%	666	262	$5K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	24%	47	42	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.4%	54	40	$2K
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	5.0%	15	14	$1K

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 officialNEWTON, BONNIE (OFFICE MANAGER)

Same official

Other billing entities under NEWTON, BONNIE

Full network →

Provider	Location	Paid
Alpine Medical	Worland, WY	$82K
Alpine Medical	Cody, WY	$25K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.