NPI: 1558657650 · CASPER, WY 82601 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,617 | $2.15M |
| 2019 | 23,070 | $2.14M |
| 2020 | 20,712 | $1.88M |
| 2021 | 36,197 | $2.15M |
| 2022 | 54,284 | $2.37M |
| 2023 | 35,171 | $2.63M |
| 2024 | 17,029 | $1.47M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 39,837 | 34,128 | $13.91M |
| S0281 | Medical home, maintenance | 127,565 | 124,522 | $596K |
| G0467 | Fqhc visit, estab pt | 6,917 | 4,101 | $175K |
| 99238 | 580 | 555 | $31K | |
| 99213 | 23,745 | 19,709 | $27K | |
| 99232 | 541 | 284 | $20K | |
| 99214 | 2,024 | 1,364 | $10K | |
| 0241U | 68 | 56 | $6K | |
| D9999 | 22 | 13 | $5K | |
| 0001A | 96 | 96 | $3K | |
| 99222 | 70 | 68 | $3K | |
| 0002A | 70 | 70 | $3K | |
| 99309 | 1,917 | 1,251 | $1K | |
| 99212 | 1,161 | 989 | $462.97 | |
| 87811 | 14 | 13 | $435.72 | |
| 99308 | 468 | 318 | $211.09 | |
| 90460 | 862 | 765 | $168.00 | |
| 81025 | 13 | 13 | $112.06 | |
| 99391 | 557 | 513 | $78.35 | |
| 81001 | 72 | 68 | $72.68 | |
| 36415 | 660 | 521 | $40.65 | |
| 90686 | 97 | 97 | $19.03 | |
| 96127 | 67 | 34 | $12.03 | |
| 90471 | 29 | 29 | $9.67 | |
| 90680 | 19 | 13 | $0.00 | |
| 80053 | 12 | 12 | $0.00 | |
| 90723 | 20 | 14 | $0.00 | |
| 90647 | 23 | 15 | $0.00 | |
| 90677 | 15 | 12 | $0.00 | |
| 84443 | 14 | 13 | $0.00 | |
| 81003 | 920 | 765 | $0.00 | |
| 0502F | 189 | 147 | $0.00 | |
| 85610 | 35 | 26 | $0.00 | |
| 99203 | 19 | 12 | $0.00 | |
| 80307 | 19 | 13 | $0.00 | |
| 91300 | 238 | 208 | $0.00 | |
| 90461 | 43 | 39 | $0.00 | |
| 90670 | 47 | 40 | $0.00 | |
| 90837 | 15 | 12 | $0.00 |