NPI: 1033595541 · PRESTON, ID 83263 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 512 | $62K |
| 2019 | 142 | $21K |
| 2020 | 512 | $73K |
| 2021 | 806 | $70K |
| 2022 | 2,347 | $143K |
| 2023 | 682 | $76K |
| 2024 | 473 | $65K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 2,350 | 1,930 | $508K |
| 99213 | 1,006 | 868 | $2K | |
| 99214 | 184 | 161 | $93.42 | |
| 36415 | 12 | 12 | $81.50 | |
| 1160F | 839 | 718 | $32.50 | |
| 3008F | 46 | 39 | $0.00 | |
| 3074F | 80 | 66 | $0.00 | |
| 1036F | 520 | 440 | $0.00 | |
| 96127 | 30 | 17 | $0.00 | |
| 1125F | 20 | 12 | $0.00 | |
| 3725F | 181 | 162 | $0.00 | |
| 4004F | 156 | 131 | $0.00 | |
| 3078F | 50 | 43 | $0.00 |