EVANSTON HOSPITAL CORPORATION
NPI: 1639140015
· EVANSTON, WY 82930
· 282N00000X
$378K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
432 |
$31K |
| 2019 |
203 |
$27K |
| 2020 |
117 |
$9K |
| 2021 |
1,456 |
$83K |
| 2022 |
1,846 |
$103K |
| 2023 |
1,096 |
$82K |
| 2024 |
482 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
1,479 |
1,219 |
$184K |
| 87636 |
|
1,627 |
907 |
$103K |
| 99283 |
|
538 |
508 |
$55K |
| 99285 |
|
240 |
176 |
$25K |
| C9803 |
Hopd covid-19 spec collect |
431 |
354 |
$4K |
| 59025 |
|
36 |
24 |
$3K |
| G0463 |
Hospital outpt clinic visit |
37 |
25 |
$2K |
| 85025 |
|
910 |
622 |
$1K |
| 87430 |
|
16 |
15 |
$241.28 |
| 36415 |
|
57 |
42 |
$73.63 |
| 80053 |
|
231 |
202 |
$64.80 |
| A9270 |
Non-covered item or service |
30 |
25 |
$0.00 |