NPI: 1639191562 · TORRINGTON, WY 82240 · 251E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 157 | $12K |
| 2019 | 178 | $12K |
| 2020 | 128 | $6K |
| 2021 | 115 | $4K |
| 2022 | 54 | $457.37 |
| 2023 | 47 | $520.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1023 | Program intake assessment | 222 | 221 | $27K |
| 90460 | 212 | 207 | $8K | |
| 0013A | 31 | 30 | $280.00 | |
| 0012A | 24 | 23 | $141.95 | |
| 0004A | 12 | 12 | $80.00 | |
| 90480 | 17 | 16 | $40.00 | |
| 0134A | 13 | 12 | $37.37 | |
| 91322 | 17 | 16 | $0.00 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $0.00 |
| 90688 | 14 | 14 | $0.00 | |
| 90686 | 103 | 103 | $0.00 |