NPI: 1013344696 · CHUBBUCK, ID 83202 · 104100000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,669 | $104K |
| 2020 | 7,381 | $249K |
| 2022 | 2,345 | $135K |
| 2023 | 9,343 | $587K |
| 2024 | 5,208 | $357K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | 7,182 | 2,604 | $467K | |
| 90837 | 3,892 | 1,358 | $337K | |
| T1017 | Targeted case management | 4,649 | 1,367 | $235K |
| H2017 | Psysoc rehab svc, per 15 min | 2,333 | 512 | $214K |
| S5150 | Unskilled respite care /15m | 1,034 | 178 | $39K |
| T1014 | Telehealth transmit, per min | 1,912 | 580 | $37K |
| 90791 | 286 | 284 | $33K | |
| 90847 | 183 | 87 | $18K | |
| T1016 | Case management | 379 | 131 | $16K |
| 90785 | 2,969 | 1,174 | $11K | |
| H0031 | Mh health assess by non-md | 126 | 116 | $9K |
| T2002 | N-et; per diem | 1,820 | 475 | $6K |
| 90846 | 62 | 27 | $5K | |
| 90832 | 99 | 80 | $5K | |
| H0032 | Mh svc plan dev by non-md | 20 | 15 | $1K |