Medicaid Provider Spending

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

NPI: 1871680041 · ROCK SPRINGS, WY 82901 · Family Medicine Physician · NPI assigned 10/06/2006

$158K
Total Medicaid Paid
2,567
Total Claims
2,387
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialFERNANDEZ, KANDACE (OFFICE MANAGER)
NPI Enumeration Date10/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,180 $72K
2019 1,074 $66K
2020 313 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,459 2,279 $150K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 91 91 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17 17 $249.90