NPI: 1043545106 · BOISE, ID 83704 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 7,303 | $2.34M |
| 2023 | 3,656 | $991K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0035 | Mh partial hosp tx under 24h | 6,696 | 731 | $2.71M |
| S9480 | Intensive outpatient psychia | 2,349 | 402 | $341K |
| H0015 | Alcohol and/or drug services | 1,289 | 147 | $153K |
| S0201 | Partial hospitalization serv | 278 | 36 | $102K |
| 90791 | 177 | 99 | $21K | |
| 99213 | 81 | 57 | $5K | |
| 99214 | 35 | 24 | $3K | |
| 90792 | 13 | 13 | $2K | |
| 99212 | 41 | 29 | $2K |