NPI: 1891890034 · GREYBULL, WY 82426 · Case Management Agency · NPI assigned 09/13/2006
| Authorized Official | WILEY, SUSAN (NURSING MANAGER) |
| NPI Enumeration Date | 09/13/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 307 | $18K |
| 2019 | 261 | $17K |
| 2020 | 230 | $12K |
| 2021 | 181 | $12K |
| 2022 | 454 | $5K |
| 2023 | 177 | $5K |
| 2024 | 160 | $3K |
| 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 | 391 | 391 | $47K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 709 | 684 | $24K |
| 0001A | 15 | 14 | $600.00 | |
| 0124A | 124 | 42 | $280.00 | |
| 90480 | 32 | 32 | $86.88 | |
| 90686 | 207 | 206 | $34.00 | |
| 90661 | 19 | 19 | $0.00 | |
| 91312 | 124 | 42 | $0.00 | |
| 90461 | 29 | 29 | $0.00 | |
| 91300 | 22 | 21 | $0.00 | |
| 91322 | 32 | 32 | $0.00 | |
| 90674 | 17 | 17 | $0.00 | |
| 90677 | 12 | 12 | $0.00 | |
| 90651 | 24 | 24 | $0.00 | |
| 90619 | 13 | 13 | $0.00 |