NPI: 1013547801 · POCATELLO, ID 83201 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 522 | $44K |
| 2021 | 2,790 | $198K |
| 2022 | 12,796 | $1.06M |
| 2023 | 5,168 | $536K |
| 2024 | 3,194 | $230K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 8,695 | 5,466 | $2.06M |
| 99214 | 2,698 | 2,233 | $10K | |
| 99213 | 1,573 | 1,414 | $380.86 | |
| 80305 | 1,897 | 1,503 | $160.85 | |
| 36415 | 91 | 83 | $48.70 | |
| 81025 | 15 | 12 | $15.50 | |
| 96127 | 905 | 454 | $4.11 | |
| 3725F | 812 | 719 | $0.00 | |
| 1160F | 1,794 | 1,425 | $0.00 | |
| 90832 | 370 | 262 | $0.00 | |
| 3077F | 71 | 62 | $0.00 | |
| 3078F | 64 | 56 | $0.00 | |
| 90791 | 103 | 102 | $0.00 | |
| 4004F | 44 | 41 | $0.00 | |
| 3075F | 96 | 94 | $0.00 | |
| 3008F | 435 | 398 | $0.00 | |
| 3074F | 558 | 464 | $0.00 | |
| 90834 | 3,405 | 1,589 | $0.00 | |
| 1036F | 389 | 339 | $0.00 | |
| 3079F | 259 | 229 | $0.00 | |
| 1034F | 153 | 135 | $0.00 | |
| 3080F | 26 | 25 | $0.00 | |
| 90847 | 17 | 13 | $0.00 |