NPI: 1013085604 · IDAHO FALLS, ID 83404 · Pediatric Radiology Physician
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $2K |
| 2019 | 14 | $2K |
| 2020 | 147 | $22K |
| 2021 | 85 | $11K |
| 2022 | 482 | $40K |
| 2023 | 261 | $30K |
| 2024 | 45 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 73721 | 434 | 407 | $74K | |
| 72148 | 90 | 87 | $13K | |
| 77067 | 137 | 137 | $12K | |
| 73221 | 25 | 25 | $4K | |
| 70553 | 12 | 12 | $4K | |
| 76700 | 25 | 24 | $2K | |
| 70551 | 13 | 13 | $2K | |
| 76376 | 87 | 84 | $1K | |
| 76536 | 12 | 12 | $960.29 | |
| 76815 | 13 | 12 | $817.92 | |
| 71046 | 38 | 38 | $774.68 | |
| A9585 | Injection, gadobutrol, 0.1 ml | 24 | 24 | $611.48 |
| 77063 | 137 | 137 | $0.00 |