Physician
Big Horn Pediatrics
Big Horn Pediatrics was paid $1.45M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoBIG HORN PEDIATRICS
GILLETTE, WY 82716
GILLETTE, WY 82716
33aNPI1477660447assigned 08/24/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.45M
24GClaims31,342
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Wyoming
Rank by total paid#4 of 56
Median peer was paid$73K
This provider vs. median20×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 3,152 | $158K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 13,703 | 12,462 | $818K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14% | 2,759 | 2,307 | $200K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 1,049 | 1,025 | $88K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 1,101 | 1,083 | $84K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.4% | 4,151 | 2,516 | $79K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.2% | 1,285 | 1,141 | $46K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.0% | 1,051 | 1,042 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 1,581 | 1,568 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 167 | 161 | $15K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 170 | 140 | $13K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 45 | 12 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 150 | 149 | $13K |
26 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 835 | $12K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 360 | $11K |
| A4550 | Surgical trays | <1% | 167 | $4K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 100 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $3K |
| 99070 | <1% | 345 | $3K | |
| 90474 | <1% | 270 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 62 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 85 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 121 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $818.28 |
| 96127 | <1% | 148 | $732.96 | |
| 83655 | <1% | 14 | $207.76 | |
| 85018 | <1% | 12 | $24.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $1.44 |
| 90686 | 0% | 91 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90656 | 0% | 21 | $0.00 | |
| 90688 | 0% | 32 | $0.00 | |
| 90697 | 0% | 25 | $0.00 | |
| 90651 | 0% | 34 | $0.00 | |
| 90461 | 0% | 1,208 | $0.00 | |
| 90671 | 0% | 53 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90670 | 0% | 56 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialEDWARDS, ANN (OFFICE MANAGER)