NPI: 1053422139 · BAKER CITY, OR 97814 · 251B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,997 | $57K |
| 2019 | 1,637 | $51K |
| 2020 | 1,686 | $50K |
| 2021 | 868 | $34K |
| 2022 | 902 | $25K |
| 2023 | 485 | $9K |
| 2024 | 366 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 634 | 548 | $74K |
| 90670 | 1,380 | 1,364 | $30K | |
| 90698 | 1,013 | 1,003 | $22K | |
| 90680 | 642 | 630 | $14K | |
| 90633 | 559 | 553 | $12K | |
| 90688 | 596 | 569 | $10K | |
| 99394 | 100 | 100 | $10K | |
| 90744 | 436 | 433 | $9K | |
| 90707 | 414 | 401 | $9K | |
| 90716 | 396 | 384 | $9K | |
| 90715 | 264 | 258 | $6K | |
| 90686 | 190 | 190 | $4K | |
| 90651 | 164 | 161 | $4K | |
| 90685 | 150 | 149 | $3K | |
| 90471 | 254 | 246 | $3K | |
| 90677 | 106 | 106 | $3K | |
| 90696 | 110 | 100 | $2K | |
| 90734 | 93 | 87 | $2K | |
| 99213 | 33 | 27 | $2K | |
| 99384 | 18 | 18 | $2K | |
| 99211 | 98 | 77 | $1K | |
| 90658 | 44 | 44 | $700.00 | |
| 90687 | 25 | 25 | $549.00 | |
| 90697 | 24 | 24 | $505.08 | |
| 90619 | 17 | 17 | $373.32 | |
| 91322 | 13 | 13 | $372.80 | |
| 90480 | 16 | 16 | $351.36 | |
| 90648 | 12 | 12 | $263.52 | |
| 90474 | 15 | 14 | $9.92 | |
| G0008 | Admin influenza virus vac | 100 | 63 | $0.00 |
| 90710 | 25 | 25 | $0.00 |