UNIVERSITY OF WYOMING
NPI: 1639617061
· LARAMIE, WY 82072
· Family Medicine Physician
· NPI assigned 02/06/2017
$735K
Total Medicaid Paid
Provider Details
| Authorized Official | DALTON, SARA (CLINIC DIRECTOR) |
| Parent Organization | UNIVERSITY OF WYOMING |
| NPI Enumeration Date | 02/06/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
47 |
$7K |
| 2020 |
100 |
$15K |
| 2021 |
261 |
$68K |
| 2022 |
866 |
$175K |
| 2023 |
1,476 |
$271K |
| 2024 |
1,356 |
$199K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,710 |
2,023 |
$727K |
| 99214 |
|
954 |
746 |
$4K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
85 |
77 |
$3K |
| 99213 |
|
227 |
185 |
$208.10 |
| 99215 |
Prolong outpt/office vis |
109 |
80 |
$92.73 |
| 90837 |
|
21 |
12 |
$0.00 |