NPI: 1184255754 · POCATELLO, ID 83201 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 447 | $12K |
| 2022 | 1,426 | $19K |
| 2023 | 145 | $10K |
| 2024 | 15 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 414 | 375 | $33K | |
| 99309 | 237 | 200 | $9K | |
| 99497 | 17 | 14 | $242.11 | |
| 96127 | 28 | 27 | $143.64 | |
| 1036F | 230 | 215 | $0.00 | |
| 3074F | 79 | 73 | $0.00 | |
| 3008F | 13 | 13 | $0.00 | |
| 99439 | 38 | 37 | $0.00 | |
| 1030F | 42 | 41 | $0.00 | |
| 1160F | 761 | 637 | $0.00 | |
| 99490 | Ccm add 20min | 38 | 37 | $0.00 |
| 3078F | 112 | 105 | $0.00 | |
| 1032F | 12 | 12 | $0.00 | |
| 3725F | 12 | 12 | $0.00 |