NPI: 1770681439 · CHEYENNE, WY 82001 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,113 | $654K |
| 2019 | 8,854 | $746K |
| 2020 | 8,987 | $779K |
| 2021 | 13,513 | $801K |
| 2022 | 12,234 | $865K |
| 2023 | 15,325 | $1.12M |
| 2024 | 6,328 | $550K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 15,080 | 12,806 | $5.25M |
| S0281 | Medical home, maintenance | 48,828 | 45,385 | $231K |
| 99213 | 8,064 | 6,486 | $20K | |
| G0467 | Fqhc visit, estab pt | 274 | 159 | $6K |
| 99232 | 114 | 38 | $5K | |
| 99214 | 841 | 635 | $3K | |
| 99238 | 13 | 13 | $817.74 | |
| 96127 | 25 | 13 | $1.82 | |
| 90460 | 75 | 67 | $0.00 | |
| 99391 | 13 | 12 | $0.00 | |
| 91301 | 27 | 24 | $0.00 |