Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CODY SURGICAL ASSOCIATES LLC

NPI: 1326679432 · CODY, WY 82414 · Surgery Physician · NPI assigned 01/28/2020

$22K
Total Medicaid Paid
876
Total Claims
448
Beneficiaries
5
Codes Billed
2020-05
First Month
2022-02
Last Month

Provider Details

Authorized OfficialNEWTON, BONNIE (OFFICE MANAGER)
NPI Enumeration Date01/28/2020

Related Entities

Other providers sharing the same authorized official: NEWTON, BONNIE

ProviderCityStateTotal Paid
ALPINE MEDICAL WORLAND WY $82K
ALPINE MEDICAL CODY WY $25K

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 94 90 $8K
95117 666 262 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 47 42 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54 40 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 14 $1K