NPI: 1174699722 · REXBURG, ID 83440 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27,218 | $1.04M |
| 2019 | 20,175 | $720K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 10,002 | 9,367 | $577K | |
| 99391 | 5,054 | 4,849 | $410K | |
| 99392 | 2,856 | 2,815 | $257K | |
| 90472 | 4,235 | 4,157 | $144K | |
| 99214 | 1,599 | 1,390 | $94K | |
| 90471 | 3,735 | 3,640 | $71K | |
| 99393 | 548 | 544 | $47K | |
| 90473 | 1,963 | 1,927 | $40K | |
| 99238 | 426 | 422 | $26K | |
| 87502 | 252 | 243 | $23K | |
| 99460 | 235 | 234 | $20K | |
| 99394 | 123 | 120 | $12K | |
| 85025 | 742 | 725 | $6K | |
| 99307 | 421 | 407 | $5K | |
| 87651 | 123 | 120 | $4K | |
| 83655 | 296 | 289 | $4K | |
| 76805 | 28 | 24 | $3K | |
| 76816 | 28 | 28 | $2K | |
| 90474 | 180 | 180 | $2K | |
| 82247 | 299 | 224 | $2K | |
| 86756 | 94 | 93 | $1K | |
| 36416 | 473 | 415 | $1K | |
| 36415 | 505 | 463 | $1K | |
| 54450 | 14 | 14 | $732.20 | |
| 76817 | 12 | 12 | $689.22 | |
| 99215 | Prolong outpt/office vis | 12 | 12 | $612.81 |
| 90756 | 29 | 29 | $521.70 | |
| 87430 | 31 | 31 | $446.54 | |
| 87804 | 25 | 25 | $372.50 | |
| 82951 | 35 | 30 | $357.50 | |
| 90715 | 27 | 27 | $318.75 | |
| 96372 | 16 | 13 | $250.91 | |
| 99174 | 14 | 14 | $70.98 | |
| 90670 | 3,158 | 3,107 | $32.11 | |
| 85018 | 13 | 13 | $27.55 | |
| 90723 | 2,451 | 2,425 | $25.46 | |
| 90647 | 1,385 | 1,367 | $15.02 | |
| 90686 | 492 | 481 | $9.53 | |
| 90648 | 941 | 915 | $9.01 | |
| 90633 | 797 | 775 | $7.43 | |
| 90685 | 697 | 689 | $6.71 | |
| 90700 | 306 | 301 | $2.92 | |
| 90707 | 178 | 174 | $1.69 | |
| 90716 | 175 | 171 | $1.63 | |
| 90681 | 2,248 | 2,228 | $1.55 | |
| 90710 | 35 | 35 | $0.35 | |
| 90734 | 27 | 27 | $0.27 | |
| 90649 | 18 | 18 | $0.18 | |
| 54150 | 40 | 39 | $0.00 |