NPI: 1447386057 · CHEYENNE, WY 82007 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,378 | $135K |
| 2019 | 1,291 | $135K |
| 2020 | 1,115 | $113K |
| 2021 | 1,636 | $82K |
| 2022 | 919 | $12K |
| 2023 | 702 | $8K |
| 2024 | 1,381 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1023 | Program intake assessment | 3,667 | 3,651 | $440K |
| 99349 | 308 | 237 | $35K | |
| 90460 | 509 | 484 | $18K | |
| 90471 | 1,029 | 931 | $14K | |
| 90472 | 225 | 203 | $8K | |
| H0049 | Alcohol/drug screening | 309 | 298 | $6K |
| 0002A | 74 | 74 | $3K | |
| 90688 | 131 | 127 | $2K | |
| 0001A | 34 | 34 | $1K | |
| 99408 | 108 | 91 | $1K | |
| 90651 | 269 | 228 | $1K | |
| 90686 | 119 | 102 | $935.10 | |
| 0124A | 67 | 55 | $920.00 | |
| 90480 | 27 | 27 | $800.00 | |
| 91320 | 18 | 18 | $787.20 | |
| 90682 | 22 | 21 | $270.90 | |
| 90656 | 58 | 58 | $259.20 | |
| 90715 | 620 | 555 | $206.99 | |
| 0004A | 65 | 64 | $120.00 | |
| 0003A | 14 | 14 | $80.00 | |
| 90633 | 109 | 89 | $40.28 | |
| G0008 | Admin influenza virus vac | 67 | 65 | $0.00 |
| 90734 | 166 | 133 | $0.00 | |
| 91300 | 346 | 311 | $0.00 | |
| 90710 | 47 | 43 | $0.00 | |
| 90713 | 14 | 14 | $0.00 |