NPI: 1043722259 · IDAHO FALLS, ID 83404 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,919 | $186K |
| 2019 | 6,221 | $503K |
| 2020 | 6,045 | $521K |
| 2021 | 10,833 | $780K |
| 2022 | 18,436 | $1.30M |
| 2023 | 12,050 | $850K |
| 2024 | 12,725 | $1.02M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 23,880 | 23,468 | $2.13M | |
| 99213 | 19,138 | 18,934 | $1.20M | |
| 99203 | 7,075 | 7,012 | $551K | |
| 99204 | 4,347 | 4,257 | $509K | |
| 87636 | 2,021 | 2,017 | $247K | |
| 87651 | 6,136 | 6,094 | $190K | |
| 87502 | 1,354 | 1,345 | $117K | |
| 87633 | 217 | 217 | $94K | |
| 87635 | 1,385 | 1,376 | $62K | |
| 87631 | 142 | 142 | $18K | |
| 87634 | 272 | 270 | $16K | |
| 31720 | 370 | 322 | $11K | |
| 71046 | 273 | 272 | $7K | |
| 99202 | 28 | 28 | $2K | |
| A7002 | Tubing used w suction pump | 366 | 321 | $1K |
| A4628 | Oropharyngeal suction cath | 368 | 322 | $1K |
| J1100 | Dexamethasone sodium phos | 352 | 349 | $1K |
| 87880 | 73 | 69 | $935.52 | |
| 94640 | 85 | 83 | $643.01 | |
| 99401 | 12 | 12 | $404.18 | |
| 69210 | 13 | 12 | $359.72 | |
| S9088 | Services provided in urgent | 755 | 674 | $315.34 |
| 71045 | 19 | 17 | $267.04 | |
| 96372 | 17 | 13 | $154.53 | |
| 81003 | 63 | 63 | $135.50 | |
| J7620 | Albuterol ipratrop non-comp | 30 | 29 | $3.18 |
| J7613 | Albuterol non-comp unit | 24 | 24 | $2.87 |
| S0119 | Ondansetron 4 mg | 12 | 12 | $0.84 |
| A9150 | Misc/exper non-prescript dru | 16 | 16 | $0.00 |
| 99070 | 12 | 12 | $0.00 | |
| 99051 | 374 | 313 | $0.00 |