SOUTH LINCOLN HOSPITAL DISTRICT
NPI: 1386716710
· KEMMERER, WY 83101
· Clinic/Center
· NPI assigned 11/14/2006
$141K
Total Medicaid Paid
Provider Details
| Authorized Official | RYERSE, DAVID (CEO) |
| NPI Enumeration Date | 11/14/2006 |
Related Entities
Other providers sharing the same authorized official: RYERSE, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
123 |
$8K |
| 2020 |
117 |
$10K |
| 2021 |
700 |
$41K |
| 2022 |
343 |
$23K |
| 2023 |
544 |
$39K |
| 2024 |
191 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,107 |
830 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
881 |
686 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
13 |
$0.00 |