NPI: 1184155426 · BOISE, ID 83706 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 50,411 | $611K |
| 2019 | 55,977 | $743K |
| 2020 | 39,380 | $563K |
| 2021 | 54 | $13.03 |
| 2022 | 123 | $108.92 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87491 | 4,404 | 4,323 | $165K | |
| 87591 | 4,391 | 4,310 | $164K | |
| 84443 | 9,309 | 9,184 | $152K | |
| 80053 | 13,375 | 12,910 | $134K | |
| 85025 | 15,887 | 15,019 | $116K | |
| 87481 | 1,479 | 1,455 | $112K | |
| 80061 | 7,150 | 7,065 | $89K | |
| 82306 | 2,692 | 2,650 | $75K | |
| 83036 | 8,631 | 8,521 | $75K | |
| 87086 | 7,243 | 6,913 | $58K | |
| 87389 | 2,281 | 2,261 | $57K | |
| 87070 | 6,269 | 6,201 | $57K | |
| 87511 | 1,479 | 1,455 | $56K | |
| 87660 | 2,115 | 2,084 | $48K | |
| 88175 | 1,617 | 1,605 | $46K | |
| 87624 | 970 | 966 | $36K | |
| 84439 | 3,755 | 3,708 | $33K | |
| 86780 | 2,038 | 2,014 | $28K | |
| 82607 | 1,662 | 1,643 | $24K | |
| 87077 | 2,633 | 2,583 | $21K | |
| 82728 | 1,529 | 1,507 | $20K | |
| 87340 | 1,914 | 1,893 | $20K | |
| 86762 | 1,380 | 1,362 | $19K | |
| 80307 | 355 | 337 | $17K | |
| 86787 | 1,325 | 1,312 | $17K | |
| 87186 | 1,955 | 1,915 | $16K | |
| 36415 | 8,624 | 7,525 | $16K | |
| 84702 | 899 | 749 | $14K | |
| 80048 | 1,942 | 1,756 | $13K | |
| 86850 | 1,543 | 1,522 | $11K | |
| 84466 | 902 | 888 | $11K | |
| 86803 | 745 | 738 | $11K | |
| 84403 | 380 | 376 | $10K | |
| 84481 | 594 | 590 | $10K | |
| 83013 | 133 | 133 | $10K | |
| 82746 | 645 | 637 | $9K | |
| 87081 | 1,387 | 1,376 | $9K | |
| 87635 | 176 | 171 | $7K | |
| 82043 | 1,303 | 1,293 | $7K | |
| 82570 | 1,379 | 1,348 | $7K | |
| 82950 | 1,365 | 1,354 | $7K | |
| 83540 | 1,061 | 1,044 | $7K | |
| 83516 | 179 | 179 | $6K | |
| 86140 | 1,104 | 1,040 | $6K | |
| 83001 | 280 | 277 | $6K | |
| 84153 | 305 | 304 | $5K | |
| 83880 | 164 | 158 | $5K | |
| 86039 | 400 | 395 | $5K | |
| 86900 | 1,390 | 1,372 | $4K | |
| 86901 | 1,385 | 1,368 | $4K | |
| 86704 | 308 | 306 | $4K | |
| 83690 | 521 | 516 | $4K | |
| 83735 | 702 | 606 | $4K | |
| 85652 | 1,249 | 1,202 | $3K | |
| 85027 | 582 | 563 | $3K | |
| 84146 | 162 | 160 | $3K | |
| 87015 | 437 | 435 | $3K | |
| 87798 | 27 | 26 | $3K | |
| 86709 | 232 | 231 | $3K | |
| 86696 | 143 | 142 | $3K | |
| 81003 | 1,216 | 1,188 | $2K | |
| 81001 | 932 | 886 | $2K | |
| 87205 | 477 | 474 | $2K | |
| 80074 | 37 | 37 | $2K | |
| 87653 | 39 | 39 | $2K | |
| 86003 | 15 | 14 | $2K | |
| 86431 | 260 | 260 | $2K | |
| 86695 | 142 | 141 | $2K | |
| 84550 | 330 | 313 | $1K | |
| 85610 | 412 | 351 | $1K | |
| 83002 | 56 | 55 | $1K | |
| 82105 | 91 | 86 | $1K | |
| 87210 | 214 | 106 | $1K | |
| 87529 | 14 | 14 | $1K | |
| 83970 | 32 | 32 | $825.48 | |
| 84156 | 251 | 237 | $798.13 | |
| 82670 | 25 | 25 | $776.00 | |
| 82784 | 69 | 66 | $771.80 | |
| 84402 | 27 | 27 | $764.37 | |
| 87046 | 25 | 25 | $755.28 | |
| 87427 | 25 | 25 | $639.36 | |
| 80164 | 51 | 51 | $632.08 | |
| 87147 | 106 | 106 | $602.86 | |
| 87522 | Neg quan hep c or qual rna | 12 | 12 | $475.90 |
| 86800 | 24 | 24 | $471.36 | |
| 82150 | 50 | 47 | $351.72 | |
| 80076 | 39 | 38 | $319.70 | |
| 86706 | 27 | 27 | $310.18 | |
| 88141 | 12 | 12 | $306.35 | |
| 82677 | 34 | 30 | $297.18 | |
| 87045 | 25 | 25 | $251.76 | |
| 86592 | 54 | 54 | $247.42 | |
| 86336 | 34 | 30 | $193.33 | |
| 86747 | 26 | 25 | $188.30 | |
| 83655 | 14 | 14 | $178.48 | |
| 86376 | 12 | 12 | $166.02 | |
| 80178 | 27 | 26 | $161.48 | |
| 84100 | 46 | 42 | $160.95 | |
| 87272 | 12 | 12 | $160.12 | |
| 87269 | 12 | 12 | $160.11 | |
| 87177 | 12 | 12 | $122.29 | |
| 82550 | 13 | 13 | $94.12 | |
| 86694 | 12 | 12 | $85.63 | |
| 85007 | 16 | 14 | $45.84 | |
| P9603 | One-way allow prorated miles | 14 | 13 | $4.64 |
| 80361 | 86 | 86 | $0.00 |