NPI: 1043387426 · RUPERT, ID 83350 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,752 | $229K |
| 2019 | 4,754 | $252K |
| 2020 | 4,846 | $275K |
| 2021 | 5,417 | $347K |
| 2022 | 5,749 | $358K |
| 2023 | 4,835 | $291K |
| 2024 | 4,138 | $286K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 22,036 | 19,871 | $2.03M |
| 99213 | 9,710 | 9,042 | $7K | |
| 99214 | 1,814 | 1,686 | $3K | |
| 99212 | 77 | 72 | $0.00 | |
| 99394 | 37 | 37 | $0.00 | |
| 99393 | 67 | 67 | $0.00 | |
| 99072 | 46 | 44 | $0.00 | |
| 87502 | 12 | 12 | $0.00 | |
| 90472 | 83 | 83 | $0.00 | |
| 87804 | 12 | 12 | $0.00 | |
| 90686 | 106 | 106 | $0.00 | |
| 90471 | 410 | 409 | $0.00 | |
| 96110 | 53 | 53 | $0.00 | |
| 96372 | 13 | 12 | $0.00 | |
| 87430 | 15 | 15 | $0.00 |