Medicaid Provider Spending

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

BRIDGER VALLEY URGENT CARE, LLC

NPI: 1952729857 · LYMAN, WY 82937 · Emergency Medicine Physician · NPI assigned 03/29/2014

$41K
Total Medicaid Paid
750
Total Claims
708
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialGOBLE, EDWIN (OWNER)
NPI Enumeration Date03/29/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 728 $39K
2019 22 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 272 257 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 250 230 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 228 221 $3K