Hospital
Memorial Hospital of Carbon County
Memorial Hospital of Carbon County was paid $939K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoMEMORIAL HOSPITAL OF CARBON COUNTY
RAWLINS, WY 82301
RAWLINS, WY 82301
33aNPI1710298757assigned 06/24/2010
33bProvider typeCritical Access Hospital
28Total paid$939K
24GClaims17,964
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Wyoming
Rank by total paid#2 of 5
Median peer was paid$412K
This provider vs. median2.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,413 | $84K | |
| 2019 | 1,452 | $77K | |
| 2020 | 1,604 | $75K | |
| 2021 | 2,777 | $118K | |
| 2022 | 3,972 | $182K | |
| 2023 | 4,182 | $257K | |
| 2024incomplete | 2,564 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 5,631 | 4,806 | $298K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 1,333 | 914 | $178K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 10.0% | 724 | 675 | $94K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.5% | 2,338 | 2,099 | $80K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.4% | 1,362 | 1,280 | $69K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.5% | 952 | 718 | $52K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.9% | 271 | 175 | $46K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 606 | 535 | $44K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.9% | 2,797 | 2,559 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 140 | 133 | $10K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 115 | 73 | $8K |
| A0425 | Ground mileage, per statute mile | <1% | 304 | 136 | $8K |
20 more codes
| A0427 | Emergency ambulance ride, advanced life support | <1% | 56 | $3K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 34 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 147 | $3K |
| 99490 | Ccm add 20min | <1% | 221 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 19 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $493.90 |
| 87400 | <1% | 12 | $361.92 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 237 | $345.60 |
| 80053 | Comprehensive metabolic panel | <1% | 64 | $246.24 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $227.47 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 39 | $201.60 |
| 85027 | <1% | 69 | $112.36 | |
| 90670 | <1% | 131 | $0.35 | |
| 90648 | <1% | 79 | $0.33 | |
| 90723 | <1% | 37 | $0.12 | |
| 90671 | <1% | 26 | $0.01 | |
| 90461 | 0% | 87 | $0.00 | |
| 90633 | 0% | 28 | $0.00 | |
| 90647 | 0% | 53 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSMITH, JON (CFO)
| Provider | Location | Paid |
|---|---|---|
| J. Christopher Smith, D.D.S. PLLC | Charleston, WV | $147K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.