NPI: 1578664066 · LANDER, WY 82520 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23,448 | $490K |
| 2019 | 4,815 | $146K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,982 | 3,609 | $356K | |
| 99213 | 1,021 | 952 | $65K | |
| S0281 | Medical home, maintenance | 14,863 | 14,855 | $50K |
| 90460 | 1,099 | 1,088 | $45K | |
| 99391 | 270 | 263 | $20K | |
| 99393 | 175 | 174 | $15K | |
| 99392 | 173 | 172 | $15K | |
| 99394 | 152 | 151 | $14K | |
| 99212 | 360 | 351 | $13K | |
| 87880 | 687 | 647 | $10K | |
| 87804 | 367 | 289 | $8K | |
| 94760 | 1,653 | 1,511 | $4K | |
| 99188 | 124 | 124 | $4K | |
| 99070 | 260 | 254 | $2K | |
| 87081 | 505 | 475 | $2K | |
| 92567 | 198 | 181 | $2K | |
| 99215 | Prolong outpt/office vis | 12 | 12 | $2K |
| 99203 | 17 | 17 | $2K | |
| 87807 | 65 | 64 | $904.80 | |
| 95115 | 111 | 49 | $868.09 | |
| 88738 | 124 | 122 | $714.87 | |
| 96110 | 25 | 24 | $512.88 | |
| 94640 | 28 | 27 | $387.99 | |
| 83655 | 27 | 26 | $385.84 | |
| 99050 | 14 | 13 | $338.52 | |
| 99051 | 13 | 13 | $314.34 | |
| 36416 | 76 | 72 | $264.96 | |
| 93000 | 14 | 13 | $253.89 | |
| 94664 | 52 | 46 | $205.92 | |
| 94761 | 26 | 24 | $125.20 | |
| 85027 | 12 | 12 | $97.68 | |
| 81003 | 12 | 12 | $28.60 | |
| 99173 | 568 | 564 | $0.00 | |
| 90670 | 144 | 144 | $0.00 | |
| A7003 | Nebulizer administration set | 27 | 26 | $0.00 |
| 90633 | 12 | 12 | $0.00 | |
| 90715 | 12 | 12 | $0.00 | |
| 90685 | 46 | 46 | $0.00 | |
| 90461 | 20 | 20 | $0.00 | |
| 90734 | 30 | 30 | $0.00 | |
| 90723 | 40 | 40 | $0.00 | |
| 96127 | 66 | 66 | $0.00 | |
| 90686 | 325 | 325 | $0.00 | |
| 92551 | 263 | 261 | $0.00 | |
| 90647 | 41 | 41 | $0.00 | |
| 96161 | 30 | 30 | $0.00 | |
| 90680 | 70 | 70 | $0.00 | |
| 90651 | 52 | 52 | $0.00 |