EVANSTON HOSPITAL CORPORATION
NPI: 1427595271
· MOUNTAIN VIEW, WY 82939
· 261QR1300X
$289K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
385 |
$26K |
| 2019 |
323 |
$23K |
| 2020 |
131 |
$23K |
| 2021 |
339 |
$46K |
| 2022 |
622 |
$74K |
| 2023 |
570 |
$57K |
| 2024 |
454 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
2,085 |
1,653 |
$288K |
| 99213 |
|
588 |
487 |
$912.93 |
| 99214 |
|
77 |
66 |
$567.31 |
| 99441 |
|
25 |
12 |
$0.00 |
| 83036 |
|
30 |
24 |
$0.00 |
| 83655 |
|
19 |
14 |
$0.00 |