IVINSON MEMORIAL HOSPITAL
NPI: 1336289552
· LARAMIE, WY 82072
· 282NR1301X
$431K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
527 |
$33K |
| 2019 |
316 |
$26K |
| 2020 |
367 |
$25K |
| 2021 |
1,774 |
$66K |
| 2022 |
2,974 |
$110K |
| 2023 |
2,553 |
$110K |
| 2024 |
1,278 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage |
2,459 |
1,379 |
$141K |
| 99284 |
|
802 |
652 |
$97K |
| 99283 |
|
721 |
646 |
$70K |
| A0427 |
Als1-emergency |
703 |
400 |
$48K |
| A0429 |
Bls-emergency |
611 |
399 |
$42K |
| U0003 |
Cov-19 amp prb hgh thruput |
332 |
307 |
$21K |
| C9803 |
Hopd covid-19 spec collect |
333 |
308 |
$4K |
| U0005 |
Infec agen detec ampli probe |
188 |
171 |
$3K |
| 80053 |
|
735 |
580 |
$994.76 |
| 71045 |
|
54 |
25 |
$738.95 |
| 99282 |
|
16 |
15 |
$717.39 |
| 96374 |
|
22 |
12 |
$578.82 |
| J3490 |
Drugs unclassified injection |
1,572 |
780 |
$485.39 |
| G0463 |
Hospital outpt clinic visit |
16 |
13 |
$437.99 |
| 93005 |
|
60 |
52 |
$157.50 |
| 85025 |
|
929 |
721 |
$119.63 |
| 87502 |
|
59 |
57 |
$80.60 |
| 84443 |
|
13 |
13 |
$60.36 |
| 84484 |
|
14 |
12 |
$38.11 |
| J7030 |
Normal saline solution infus |
70 |
62 |
$22.92 |
| 85027 |
|
40 |
24 |
$0.00 |
| 81001 |
|
40 |
39 |
$0.00 |