Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Robert a Vigneri

Robert a Vigneri was paid $27K by Medicaid between Oct 2020 and May 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoROBERT A VIGNERI
CASPER, WY 82601
33aNPI1851923403assigned 02/11/2020
33bProvider typePediatrics Physician
28Total paid$27K
24GClaims872
24DCodes billed5
24AFirst – last monthOct 2020 – May 2023
Compared with peers

Next to other Pediatrics Physician providers in Wyoming

Rank by total paid#18 of 27
Median peer was paid$113K
This provider vs. median0.2×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
202099$1K
2021345$10K
2022345$12K
202383$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90% 480 404 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8.3% 212 181 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.8% 15 14 $499.85
90686 0% 113 84 $0.00
90688 0% 52 52 $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 officialGAMROTH, TRACY (OFFICE MANAGER)