Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH LINCOLN HOSPITAL DISTRICT

NPI: 1689207722 · EVANSTON, WY 82930 · Family Medicine Physician · NPI assigned 02/18/2020

$1.31M
Total Medicaid Paid
13,451
Total Claims
9,446
Beneficiaries
18
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRYERSE, DAVID (CEO)
Parent OrganizationSOUTH LINCOLN HOSPITAL DISTRICT
NPI Enumeration Date02/18/2020

Related Entities

Other providers sharing the same authorized official: RYERSE, DAVID

ProviderCityStateTotal Paid
SOUTH LINCOLN HOSPITAL DISTRICT KEMMERER WY $141K
SOUTH LINCOLN HOSPITAL DISTRICT KEMMERER WY $11K
SOUTH LINCOLN HOSPITAL DISTRICT KEMMERER WY $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 880 $98K
2021 4,463 $377K
2022 3,905 $344K
2023 2,524 $233K
2024 1,679 $258K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 7,173 4,922 $1.30M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,398 2,578 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16 14 $273.20
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 77 74 $235.20
96127 180 162 $227.26
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,445 835 $0.00
90677 12 12 $0.00
36415 Collection of venous blood by venipuncture 18 12 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 56 40 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 719 590 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16 14 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 54 50 $0.00
90672 40 37 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26 12 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 38 34 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 149 35 $0.00
90633 19 13 $0.00
90670 15 12 $0.00