MEMORIAL HOSPITAL OF SWEETWATER COUNTY
NPI: 1437312436
· ROCK SPRINGS, WY 82901
· 207R00000X
$1.06M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,113 |
$55K |
| 2019 |
999 |
$48K |
| 2020 |
1,222 |
$67K |
| 2021 |
2,931 |
$145K |
| 2022 |
5,024 |
$217K |
| 2023 |
5,823 |
$271K |
| 2024 |
5,427 |
$259K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
12,410 |
11,344 |
$604K |
| 99214 |
|
3,031 |
2,801 |
$183K |
| 99391 |
|
1,326 |
1,213 |
$92K |
| 90460 |
|
1,573 |
1,474 |
$70K |
| 99212 |
|
2,009 |
1,879 |
$59K |
| 99392 |
|
219 |
210 |
$16K |
| 99203 |
|
186 |
158 |
$12K |
| 99215 |
Prolong outpt/office vis |
114 |
94 |
$9K |
| 99202 |
|
63 |
59 |
$4K |
| 99238 |
|
44 |
43 |
$3K |
| 99204 |
|
28 |
24 |
$2K |
| 99222 |
|
14 |
13 |
$2K |
| 99188 |
|
58 |
56 |
$1K |
| 90960 |
|
27 |
24 |
$1K |
| 90670 |
|
372 |
363 |
$989.38 |
| 76815 |
|
13 |
12 |
$869.76 |
| 90697 |
|
311 |
302 |
$648.61 |
| 90677 |
|
163 |
146 |
$578.61 |
| 90715 |
|
12 |
12 |
$417.60 |
| 90686 |
|
214 |
197 |
$409.10 |
| 90471 |
|
31 |
31 |
$357.06 |
| 99307 |
|
15 |
15 |
$155.82 |
| 93010 |
|
13 |
12 |
$74.03 |
| 90680 |
|
160 |
154 |
$73.00 |
| 90681 |
|
37 |
37 |
$0.04 |
| 90647 |
|
41 |
41 |
$0.00 |
| 90723 |
|
55 |
55 |
$0.00 |