COUNTY OF SHERIDAN
NPI: 1871681437
· SHERIDAN, WY 82801
· Case Management Agency
· NPI assigned 10/10/2006
$127K
Total Medicaid Paid
Provider Details
| Authorized Official | RIVERS, DANIELLE (OFFICE COORDINATOR) |
| Parent Organization | SHERIDAN COUNTY |
| NPI Enumeration Date | 10/10/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
321 |
$39K |
| 2019 |
379 |
$44K |
| 2020 |
218 |
$26K |
| 2021 |
486 |
$18K |
| 2022 |
260 |
$310.58 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
1,053 |
1,049 |
$126K |
| 90686 |
|
81 |
71 |
$204.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
12 |
$118.58 |
| 0011A |
|
34 |
34 |
$85.96 |
| 0124A |
|
71 |
37 |
$80.00 |
| 0003A |
|
55 |
54 |
$80.00 |
| 0004A |
|
15 |
15 |
$40.00 |
| 0002A |
|
20 |
20 |
$20.00 |
| 0012A |
|
23 |
23 |
$20.00 |
| 91300 |
|
103 |
100 |
$0.00 |
| 91312 |
|
71 |
37 |
$0.00 |
| 91301 |
|
74 |
72 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
33 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |