NPI: 1104374974 · CHUBBUCK, ID 83202 · 1041C0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,010 | $325K |
| 2019 | 10,276 | $508K |
| 2020 | 9,987 | $501K |
| 2022 | 199 | $13K |
| 2023 | 3,826 | $239K |
| 2024 | 2,156 | $128K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | 12,871 | 6,059 | $771K | |
| S5100 | Adult daycare services 15min | 5,859 | 500 | $170K |
| 99214 | 1,848 | 1,815 | $168K | |
| 90847 | 1,623 | 1,140 | $126K | |
| 90833 | 3,047 | 2,997 | $110K | |
| S5150 | Unskilled respite care /15m | 1,490 | 238 | $85K |
| 99213 | 1,373 | 1,360 | $83K | |
| T1017 | Targeted case management | 998 | 338 | $64K |
| T1014 | Telehealth transmit, per min | 1,789 | 1,010 | $33K |
| 90791 | 334 | 332 | $30K | |
| H0031 | Mh health assess by non-md | 333 | 328 | $27K |
| 90837 | 270 | 136 | $17K | |
| H0046 | Mental health service, nos | 214 | 71 | $13K |
| 99204 | 41 | 41 | $6K | |
| 90785 | 1,239 | 999 | $5K | |
| T1016 | Case management | 59 | 24 | $3K |
| 90836 | 42 | 42 | $3K | |
| 90832 | 24 | 16 | $951.07 |