NPI: 1104229913 · JEROME, ID 83338 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 24 | $86.49 |
| 2020 | 1,096 | $37K |
| 2021 | 3,153 | $116K |
| 2022 | 3,913 | $143K |
| 2023 | 2,604 | $78K |
| 2024 | 1,510 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | 1,124 | 415 | $125K | |
| D2392 | 1,204 | 555 | $84K | |
| D0210 | 826 | 825 | $69K | |
| D1110 | 1,464 | 1,461 | $68K | |
| D0330 | 933 | 928 | $26K | |
| D2391 | 1,173 | 482 | $20K | |
| D2393 | 62 | 40 | $9K | |
| D0140 | 630 | 624 | $8K | |
| D0150 | 1,306 | 1,305 | $6K | |
| D4341 | 103 | 40 | $6K | |
| D1120 | 67 | 67 | $2K | |
| D4910 | 15 | 15 | $828.63 | |
| D0274 | 1,136 | 1,133 | $635.83 | |
| D0120 | 874 | 873 | $610.30 | |
| D7140 | 93 | 25 | $573.31 | |
| D1208 | 593 | 592 | $29.68 | |
| D0272 | 14 | 14 | $0.00 | |
| D0220 | 683 | 667 | $-60.58 |