NPI: 1477660447 · GILLETTE, WY 82716 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,255 | $247K |
| 2019 | 4,501 | $210K |
| 2020 | 3,546 | $126K |
| 2021 | 5,161 | $225K |
| 2022 | 5,494 | $241K |
| 2023 | 4,233 | $239K |
| 2024 | 3,152 | $158K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 13,703 | 12,462 | $818K | |
| 99214 | 2,759 | 2,307 | $200K | |
| 99392 | 1,049 | 1,025 | $88K | |
| 99391 | 1,101 | 1,083 | $84K | |
| 90460 | 4,151 | 2,516 | $79K | |
| 87651 | 1,285 | 1,141 | $46K | |
| 90472 | 1,051 | 1,042 | $15K | |
| 90471 | 1,581 | 1,568 | $15K | |
| 99394 | 167 | 161 | $15K | |
| 87502 | 170 | 140 | $13K | |
| 95165 | 45 | 12 | $13K | |
| 99393 | 150 | 149 | $13K | |
| 87880 | 835 | 793 | $12K | |
| 87426 | 360 | 227 | $11K | |
| A4550 | Surgical trays | 167 | 131 | $4K |
| 87811 | 100 | 97 | $3K | |
| 99204 | 26 | 24 | $3K | |
| 99070 | 345 | 289 | $3K | |
| 90474 | 270 | 269 | $3K | |
| 99212 | 62 | 54 | $2K | |
| 96372 | 85 | 84 | $2K | |
| 87804 | 121 | 120 | $2K | |
| 99203 | 16 | 14 | $1K | |
| 99202 | 12 | 12 | $818.28 | |
| 96127 | 148 | 147 | $732.96 | |
| 83655 | 14 | 14 | $207.76 | |
| 85018 | 12 | 12 | $24.00 | |
| J1100 | Dexamethasone sodium phos | 12 | 12 | $1.44 |
| 90686 | 91 | 88 | $0.00 | |
| 90680 | 12 | 12 | $0.00 | |
| 90656 | 21 | 21 | $0.00 | |
| 90688 | 32 | 27 | $0.00 | |
| 90697 | 25 | 25 | $0.00 | |
| 90651 | 34 | 28 | $0.00 | |
| 90461 | 1,208 | 997 | $0.00 | |
| 90671 | 53 | 52 | $0.00 | |
| 90633 | 13 | 13 | $0.00 | |
| 90670 | 56 | 54 | $0.00 |