NPI: 1083171748 · GREAT FALLS, MT 59401 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 6,531 | $66K |
| 2020 | 10,642 | $116K |
| 2021 | 13,199 | $170K |
| 2022 | 6,041 | $96K |
| 2023 | 20,415 | $187K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 80050 | 3,303 | 2,742 | $152K | |
| 82306 | 4,347 | 3,617 | $89K | |
| 80061 | 5,565 | 4,556 | $50K | |
| 87637 | 432 | 317 | $41K | |
| 83036 | 4,838 | 4,009 | $31K | |
| 80053 | 4,822 | 3,845 | $29K | |
| 87631 | 241 | 219 | $29K | |
| 85025 | 5,450 | 4,400 | $28K | |
| 36415 | 10,816 | 8,888 | $28K | |
| 84443 | 2,422 | 1,909 | $20K | |
| 84481 | 1,587 | 1,326 | $19K | |
| 87491 | 791 | 553 | $18K | |
| 87591 | 794 | 554 | $18K | |
| 84439 | 2,367 | 1,857 | $14K | |
| 87635 | 217 | 206 | $10K | |
| 82607 | 736 | 573 | $7K | |
| 82043 | 1,502 | 1,338 | $6K | |
| 82570 | 1,596 | 1,413 | $6K | |
| 87389 | 388 | 247 | $5K | |
| 87480 | 399 | 232 | $4K | |
| 87510 | 399 | 232 | $4K | |
| 87660 | 398 | 232 | $4K | |
| 82728 | 442 | 345 | $4K | |
| 84466 | 398 | 311 | $3K | |
| 86803 | 386 | 226 | $3K | |
| 84153 | 227 | 163 | $2K | |
| 86780 | 245 | 153 | $2K | |
| 83540 | 405 | 316 | $2K | |
| 82746 | 131 | 114 | $1K | |
| 83735 | 221 | 198 | $1K | |
| 80048 | 164 | 157 | $1K | |
| 85610 | 214 | 156 | $569.12 | |
| 87522 | Neg quan hep c or qual rna | 30 | 13 | $299.88 |
| 87492 | 16 | 15 | $299.00 | |
| 87592 | 16 | 15 | $299.00 | |
| 87088 | 52 | 46 | $286.79 | |
| 87086 | 52 | 46 | $282.15 | |
| 81001 | 66 | 65 | $156.44 | |
| 85652 | 60 | 51 | $122.10 | |
| 84100 | 16 | 15 | $71.50 | |
| 86592 | 39 | 14 | $47.31 | |
| 82248 | 18 | 17 | $27.85 | |
| 81003 | 12 | 12 | $22.16 | |
| 99000 | 135 | 125 | $0.00 | |
| 83550 | 13 | 13 | $0.00 | |
| P9604 | One-way allow prorated trip | 60 | 49 | $0.00 |