NPI: 1073154266 · REXBURG, ID 83440 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 7,366 | $247K |
| 2020 | 20,404 | $726K |
| 2021 | 20,371 | $748K |
| 2022 | 11,717 | $475K |
| 2023 | 5,280 | $239K |
| 2024 | 4,306 | $204K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 15,252 | 14,527 | $903K | |
| 99391 | 5,688 | 5,458 | $456K | |
| 99214 | 5,295 | 4,887 | $400K | |
| 99392 | 3,816 | 3,813 | $346K | |
| 90471 | 8,066 | 8,040 | $146K | |
| 90472 | 5,375 | 5,326 | $125K | |
| 99393 | 1,159 | 1,158 | $100K | |
| 87502 | 394 | 393 | $36K | |
| 99394 | 264 | 264 | $26K | |
| 90474 | 1,270 | 1,264 | $15K | |
| 85025 | 1,435 | 1,427 | $12K | |
| 76816 | 127 | 117 | $11K | |
| 36415 | 3,442 | 3,269 | $8K | |
| 99460 | 87 | 87 | $7K | |
| 99238 | 85 | 85 | $5K | |
| 99212 | 130 | 122 | $5K | |
| 76805 | 52 | 52 | $5K | |
| 36416 | 1,791 | 1,573 | $5K | |
| 90473 | 242 | 242 | $5K | |
| 99381 | 48 | 48 | $5K | |
| 87651 | 61 | 60 | $2K | |
| 83655 | 178 | 178 | $2K | |
| 76801 | 26 | 26 | $2K | |
| 99308 | 101 | 89 | $2K | |
| 82247 | 309 | 222 | $2K | |
| 86756 | 109 | 109 | $2K | |
| 99307 | 120 | 111 | $1K | |
| 99215 | Prolong outpt/office vis | 14 | 13 | $946.85 |
| 0011A | 19 | 19 | $720.00 | |
| 90670 | 3,355 | 3,354 | $542.00 | |
| 90756 | 29 | 29 | $497.04 | |
| 0012A | 12 | 12 | $440.00 | |
| G2211 | Complex e/m visit add on | 27 | 27 | $400.12 |
| 90686 | 2,386 | 2,380 | $223.50 | |
| 96110 | 22 | 22 | $149.60 | |
| 54150 | 62 | 62 | $133.93 | |
| 90672 | 129 | 129 | $97.81 | |
| 90633 | 967 | 966 | $33.91 | |
| 90647 | 2,230 | 2,229 | $16.83 | |
| 90723 | 2,327 | 2,326 | $16.53 | |
| 90700 | 457 | 457 | $3.14 | |
| 90707 | 145 | 145 | $1.27 | |
| 90716 | 131 | 131 | $1.15 | |
| 90656 | 29 | 29 | $0.05 | |
| 90710 | 16 | 16 | $0.01 | |
| 90681 | 1,481 | 1,481 | $0.00 | |
| 90736 | 85 | 85 | $0.00 | |
| 90697 | 441 | 441 | $0.00 | |
| 90677 | 158 | 158 | $0.00 |