Hometown Medical Clinic P.C.

Hometown Medical Clinic P.C. was paid $70K by Medicaid between Oct 2019 and Oct 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoHOMETOWN MEDICAL CLINIC P.C.
NEWCASTLE, WY 82701

33aNPI1548821507assigned 06/21/2019

33bProvider typeClinic/Center

28Total paid$70K

24GClaims1,483

24DCodes billed10

24AFirst – last monthOct 2019 – Oct 2024

Compared with peers

Next to other Clinic/Center providers in Wyoming

Rank by total paid#11 of 20

Median peer was paid$70K

This provider vs. median1.0×

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
2019	89	$3K
2020	311	$15K
2021	371	$17K
2022	283	$12K
2023	241	$12K
2024incomplete	188	$11K

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	62%	860	752	$43K
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	20%	211	185	$14K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.0%	61	54	$4K
90460	Immunization administration through 18 years of age via any route, first or only component	5.7%	134	110	$4K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	4.2%	72	59	$3K
90688		<1%	44	37	$561.77
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	15	13	$309.48
99000		<1%	41	40	$191.40
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	27	25	$104.40
90756		<1%	18	13	$22.40

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 officialTUPPER, ASHLEY (OWNER)