NPI: 1093245953 · NAMPA, ID 83686 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 30,245 | $1.38M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 3,448 | 2,316 | $446K | |
| 99284 | 1,702 | 1,198 | $331K | |
| 99285 | 813 | 580 | $209K | |
| 99282 | 1,344 | 902 | $90K | |
| 96375 | 708 | 503 | $37K | |
| 96374 | 889 | 649 | $34K | |
| 96361 | 740 | 534 | $28K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 300 | 225 | $26K |
| 74177 | 244 | 184 | $22K | |
| 96365 | 243 | 179 | $21K | |
| 93005 | 497 | 368 | $18K | |
| 96372 | 455 | 315 | $16K | |
| 96360 | 184 | 132 | $13K | |
| 85025 | 1,921 | 1,273 | $10K | |
| 87804 | 1,170 | 364 | $10K | |
| 80053 | 1,016 | 733 | $7K | |
| 82805 | 222 | 150 | $6K | |
| 71046 | 648 | 454 | $6K | |
| 94640 | 235 | 158 | $5K | |
| 81025 | 788 | 548 | $4K | |
| 80051 | 838 | 591 | $4K | |
| 82550 | 845 | 596 | $3K | |
| 70450 | 143 | 104 | $3K | |
| 87880 | 332 | 216 | $3K | |
| 82565 | 829 | 586 | $3K | |
| 81003 | 1,679 | 1,168 | $3K | |
| 82150 | 592 | 424 | $2K | |
| 82977 | 470 | 337 | $2K | |
| 82947 | 706 | 501 | $2K | |
| 84484 | 440 | 323 | $2K | |
| 84520 | 830 | 586 | $2K | |
| 84460 | 576 | 411 | $2K | |
| 84075 | 576 | 411 | $2K | |
| 84450 | 576 | 411 | $2K | |
| 82247 | 576 | 411 | $2K | |
| 82040 | 576 | 411 | $2K | |
| 84155 | 576 | 411 | $1K | |
| 83605 | 222 | 150 | $1K | |
| 71045 | 284 | 223 | $1K | |
| 80305 | 137 | 98 | $1K | |
| 87086 | 139 | 93 | $729.89 | |
| 87807 | 84 | 47 | $689.19 | |
| 82553 | 60 | 37 | $301.09 | |
| 85379 | 37 | 25 | $165.02 | |
| 73610 | 13 | 13 | $148.64 | |
| 73630 | 13 | 12 | $142.69 | |
| 82962 | 71 | 45 | $130.08 | |
| 85610 | 34 | 29 | $82.01 | |
| 87186 | 19 | 12 | $64.02 | |
| J1885 | Ketorolac tromethamine inj | 41 | 36 | $29.03 |
| S0119 | Ondansetron 4 mg | 290 | 150 | $9.53 |
| 96376 | 54 | 31 | $0.00 | |
| 80320 | 20 | 12 | $0.00 |