NPI: 1154320752 · POCATELLO, ID 83201 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,143 | $392K |
| 2019 | 6,523 | $368K |
| 2020 | 10,685 | $891K |
| 2021 | 12,075 | $926K |
| 2022 | 23,430 | $1.55M |
| 2023 | 13,824 | $1.10M |
| 2024 | 12,933 | $933K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 29,434 | 24,668 | $5.81M |
| 99214 | 10,861 | 10,073 | $115K | |
| G0467 | Fqhc visit, estab pt | 2,580 | 2,079 | $112K |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 587 | 535 | $77K |
| 99213 | 14,752 | 12,727 | $39K | |
| 36415 | 6,200 | 5,921 | $5K | |
| 0031A | 36 | 36 | $1K | |
| G0470 | Fqhc visit, mh estab pt | 783 | 315 | $1K |
| G0468 | Fqhc visit, ippe or awv | 13 | 13 | $786.24 |
| 90471 | 218 | 218 | $763.89 | |
| 0012A | 15 | 15 | $449.07 | |
| 90686 | 166 | 165 | $433.45 | |
| 90674 | 123 | 123 | $410.55 | |
| 99215 | Prolong outpt/office vis | 76 | 75 | $106.86 |
| 1036F | 5,353 | 4,916 | $73.71 | |
| 90656 | 14 | 14 | $71.16 | |
| 80305 | 396 | 289 | $69.21 | |
| 99212 | 83 | 83 | $48.26 | |
| 99395 | 26 | 26 | $47.67 | |
| 1160F | 7,000 | 6,390 | $9.47 | |
| 96127 | 1,753 | 1,221 | $7.42 | |
| 83036 | 41 | 41 | $7.07 | |
| 4004F | 1,280 | 1,214 | $0.00 | |
| 3078F | 617 | 562 | $0.00 | |
| 3725F | 2,263 | 2,099 | $0.00 | |
| 90833 | 36 | 33 | $0.00 | |
| 2028F | 51 | 51 | $0.00 | |
| 99396 | 98 | 98 | $0.00 | |
| 3077F | 44 | 40 | $0.00 | |
| 3008F | 807 | 768 | $0.00 | |
| 3075F | 99 | 96 | $0.00 | |
| 3074F | 879 | 820 | $0.00 | |
| 90834 | 2,103 | 954 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 15 | 14 | $0.00 |
| 1034F | 144 | 130 | $0.00 | |
| 3079F | 477 | 449 | $0.00 | |
| 3351F | 89 | 83 | $0.00 | |
| 91303 | 33 | 33 | $0.00 | |
| 3080F | 17 | 17 | $0.00 | |
| G9717 | Doc pt dx bipol | 31 | 30 | $0.00 |
| 91301 | 20 | 20 | $0.00 |