NPI: 1033240320 · MALTA, MT 59538 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,198 | $22K |
| 2019 | 1,092 | $26K |
| 2020 | 665 | $13K |
| 2021 | 620 | $9K |
| 2022 | 488 | $11K |
| 2023 | 628 | $10K |
| 2024 | 143 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 2,147 | 2,062 | $41K | |
| 90472 | 762 | 732 | $19K | |
| 90651 | 128 | 121 | $8K | |
| 90686 | 900 | 886 | $5K | |
| 90734 | 81 | 77 | $5K | |
| 90710 | 79 | 78 | $4K | |
| 90670 | 62 | 55 | $2K | |
| 90682 | 41 | 40 | $2K | |
| 90620 | 27 | 27 | $1K | |
| 90633 | 123 | 114 | $1K | |
| 90715 | 46 | 45 | $801.44 | |
| 90619 | 14 | 14 | $748.70 | |
| 90621 | 13 | 13 | $669.65 | |
| 0013A | 17 | 17 | $560.00 | |
| 90696 | 54 | 53 | $431.17 | |
| 0011A | 35 | 35 | $423.50 | |
| 0012A | 22 | 22 | $409.07 | |
| 90723 | 26 | 26 | $301.52 | |
| 91322 | 14 | 14 | $271.28 | |
| 90480 | 14 | 14 | $120.00 | |
| 90647 | 13 | 13 | $100.24 | |
| 90685 | 14 | 13 | $71.40 | |
| G0008 | Admin influenza virus vac | 66 | 62 | $21.00 |
| 91301 | 60 | 56 | $0.00 | |
| 90662 | 45 | 39 | $0.00 | |
| 91300 | 31 | 26 | $0.00 |