MEMORIAL HOSPITAL OF CONVERSE COUNTY
General Practice Physician · DOUGLAS, WY
Organization Active NPI 1356496491
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,114 | 18,878 | $3,439,242 | $148,383 | $112,721 |
| 2023 | 1,181 | 18,725 | $3,563,480 | $163,148 | $123,136 |
| 2022 | 1,164 | 17,630 | $3,169,519 | $155,452 | $114,591 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 16,200 | $0 | $0 |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 630 | $1 | $1 |
| 71046 | X-ray of chest, 2 views | 297 | $23 | $16 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 120 | $29 | $20 |
| 73630 | X-ray of foot, minimum of 3 views | 96 | $26 | $19 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 94 | $38 | $30 |
| 70551 | Mri scan of brain without contrast | 74 | $130 | $103 |
| 72148 | Mri scan of lower spinal canal without contrast | 70 | $123 | $97 |
| 72050 | X-ray of upper spine, 4-5 views | 69 | $40 | $31 |
| 73030 | X-ray of shoulder, minimum of 2 views | 61 | $25 | $18 |
| 73502 | X-ray of hip, 2-3 views | 60 | $36 | $25 |
| 71250 | Ct scan of chest without contrast | 59 | $83 | $57 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ✓ | — | WY |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.