PLATTE RIVER FAMILY PRACTICE LLC
NPI: 1942443536
· CASPER, WY 82601
· Family Nurse Practitioner
· NPI assigned 04/12/2009
$270K
Total Medicaid Paid
Provider Details
| Authorized Official | GRUWELL, AMY (PRESIDENT/OWNER) |
| NPI Enumeration Date | 04/12/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
969 |
$47K |
| 2019 |
1,058 |
$49K |
| 2020 |
838 |
$46K |
| 2021 |
861 |
$39K |
| 2022 |
899 |
$41K |
| 2023 |
607 |
$27K |
| 2024 |
483 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,504 |
3,767 |
$210K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
914 |
803 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
121 |
105 |
$3K |
| 87428 |
|
54 |
51 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$317.52 |
| 90686 |
|
95 |
95 |
$308.25 |
| 81002 |
|
15 |
12 |
$27.84 |