NPI: 1093761694 · RUPERT, ID 83350 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,461 | $297K |
| 2019 | 4,357 | $424K |
| 2020 | 6,126 | $613K |
| 2021 | 7,214 | $664K |
| 2022 | 6,892 | $644K |
| 2023 | 13,126 | $818K |
| 2024 | 13,262 | $871K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 14,986 | 13,316 | $3.33M |
| D0999 | 3,885 | 3,420 | $952K | |
| 90471 | 2,325 | 2,301 | $18K | |
| 99213 | 9,689 | 8,832 | $12K | |
| 87426 | 155 | 153 | $5K | |
| 99214 | 308 | 287 | $3K | |
| 90472 | 207 | 207 | $2K | |
| 0001A | 70 | 69 | $2K | |
| 90686 | 1,064 | 1,061 | $1K | |
| D2392 | 58 | 27 | $1K | |
| 0002A | 44 | 44 | $1K | |
| 36415 | 294 | 288 | $913.30 | |
| 90473 | 69 | 69 | $896.70 | |
| 87428 | 17 | 17 | $240.00 | |
| 90656 | 61 | 61 | $231.27 | |
| 90651 | 15 | 15 | $210.00 | |
| 90474 | 15 | 15 | $144.96 | |
| 90672 | 180 | 180 | $140.95 | |
| 2001F | 3,449 | 3,150 | $101.73 | |
| 83036 | 92 | 90 | $76.06 | |
| 90715 | 12 | 12 | $27.86 | |
| 90688 | 13 | 13 | $8.34 | |
| D0274 | 796 | 796 | $0.00 | |
| D1110 | 680 | 680 | $0.00 | |
| D0220 | 1,127 | 1,113 | $0.00 | |
| G8752 | Sys bp less 140 | 1,048 | 970 | $0.00 |
| 3078F | 2,143 | 1,993 | $0.00 | |
| 1159F | 1,836 | 1,668 | $0.00 | |
| D0330 | 437 | 437 | $0.00 | |
| 99211 | 146 | 144 | $0.00 | |
| 99212 | 129 | 120 | $0.00 | |
| 91300 | 266 | 246 | $0.00 | |
| 99393 | 24 | 24 | $0.00 | |
| D2391 | 78 | 30 | $0.00 | |
| D1120 | 12 | 12 | $0.00 | |
| 99394 | 28 | 28 | $0.00 | |
| 4004F | 230 | 205 | $0.00 | |
| 3077F | 13 | 12 | $0.00 | |
| G8753 | Sys bp > or = 140 | 14 | 13 | $0.00 |
| D2150 | 15 | 12 | $0.00 | |
| 3074F | 2,524 | 2,325 | $0.00 | |
| D0230 | 1,809 | 616 | $0.00 | |
| D1206 | 443 | 438 | $0.00 | |
| D0120 | 623 | 623 | $0.00 | |
| D0150 | 376 | 376 | $0.00 | |
| G8754 | Dias bp less 90 | 1,106 | 1,024 | $0.00 |
| D0140 | 238 | 237 | $0.00 | |
| 1111F | 483 | 453 | $0.00 | |
| D7140 | 164 | 65 | $0.00 | |
| 3079F | 582 | 552 | $0.00 | |
| D1208 | 24 | 22 | $0.00 | |
| 3075F | 36 | 36 | $0.00 |