NPI: 1144663543 · PRESTON, ID 83263 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,306 | $457K |
| 2019 | 5,273 | $460K |
| 2020 | 6,107 | $558K |
| 2021 | 8,543 | $709K |
| 2022 | 9,282 | $775K |
| 2023 | 6,910 | $623K |
| 2024 | 5,983 | $603K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 26,062 | 23,222 | $4.16M |
| 99213 | 14,923 | 13,773 | $23K | |
| 99214 | 2,671 | 2,559 | $3K | |
| 99211 | 370 | 359 | $334.39 | |
| 87880 | 617 | 601 | $272.59 | |
| 99391 | 102 | 95 | $74.39 | |
| 90686 | 74 | 74 | $47.53 | |
| 87635 | 72 | 72 | $46.18 | |
| 90471 | 247 | 245 | $17.95 | |
| 90461 | 340 | 339 | $0.00 | |
| G2023 | Specimen collect covid-19 | 651 | 630 | $0.00 |
| 90460 | 507 | 504 | $0.00 | |
| 81003 | 82 | 78 | $0.00 | |
| 1159F | 55 | 55 | $0.00 | |
| 90715 | 12 | 12 | $0.00 | |
| 99395 | 12 | 12 | $0.00 | |
| 99393 | 45 | 45 | $0.00 | |
| 99212 | 27 | 27 | $0.00 | |
| 87811 | 223 | 221 | $0.00 | |
| 99392 | 49 | 49 | $0.00 | |
| 90472 | 33 | 33 | $0.00 | |
| 99394 | 48 | 48 | $0.00 | |
| 87426 | 54 | 53 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 14 | 14 | $0.00 |
| 3074F | 26 | 26 | $0.00 | |
| 96372 | 88 | 72 | $0.00 |