NPI: 1205368404 · LEWISTON, ID 83501 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,599 | $208K |
| 2019 | 6,635 | $224K |
| 2020 | 3,564 | $124K |
| 2021 | 10,429 | $149K |
| 2022 | 7,610 | $160K |
| 2023 | 4,424 | $133K |
| 2024 | 2,907 | $99K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 9,626 | 8,859 | $397K | |
| 99213 | 7,449 | 6,697 | $195K | |
| 90834 | 3,459 | 1,587 | $134K | |
| 99204 | 829 | 787 | $52K | |
| 99231 | 2,244 | 602 | $49K | |
| 93306 | 1,577 | 1,509 | $47K | |
| 43239 | 345 | 316 | $28K | |
| 99283 | 250 | 226 | $26K | |
| 43248 | 233 | 221 | $23K | |
| 99232 | 521 | 174 | $18K | |
| 45385 | 106 | 104 | $15K | |
| 99215 | Prolong outpt/office vis | 264 | 197 | $15K |
| 99212 | 951 | 683 | $13K | |
| 95910 | 116 | 114 | $10K | |
| 99238 | 199 | 191 | $8K | |
| Q3014 | Telehealth facility fee | 366 | 302 | $7K |
| 97597 | 387 | 234 | $6K | |
| 96127 | 928 | 683 | $5K | |
| 99222 | 64 | 62 | $5K | |
| 93010 | 1,363 | 1,219 | $5K | |
| 45378 | 48 | 42 | $5K | |
| G0463 | Hospital outpt clinic visit | 38 | 37 | $4K |
| 93016 | 319 | 308 | $3K | |
| 90792 | 71 | 67 | $3K | |
| T1014 | Telehealth transmit, per min | 176 | 133 | $3K |
| 90847 | 33 | 17 | $3K | |
| 99308 | 147 | 130 | $2K | |
| 99282 | 20 | 17 | $2K | |
| 93018 | 317 | 307 | $2K | |
| 99223 | Prolong inpt eval add15 m | 18 | 15 | $2K |
| 99152 | 143 | 119 | $2K | |
| 99203 | 23 | 22 | $1K | |
| 99284 | 13 | 12 | $1K | |
| 90791 | 12 | 12 | $1K | |
| 99233 | Prolong inpt eval add15 m | 31 | 14 | $967.98 |
| 99205 | Prolong outpt/office vis | 14 | 14 | $967.59 |
| 90686 | 39 | 36 | $569.22 | |
| 11042 | 17 | 13 | $532.89 | |
| 80053 | 62 | 55 | $478.89 | |
| 94060 | 40 | 40 | $275.23 | |
| 99441 | 12 | 12 | $215.48 | |
| 90471 | 30 | 30 | $200.10 | |
| G0500 | Mod sedat endo service >5yrs | 64 | 59 | $181.50 |
| 99153 | Mod sedat endo service >5yrs | 14 | 12 | $173.38 |
| 94729 | 43 | 40 | $171.11 | |
| 94726 | 29 | 29 | $170.03 | |
| 36415 | 76 | 64 | $166.18 | |
| 85025 | 128 | 101 | $131.86 | |
| 99211 | 14 | 14 | $65.29 | |
| 3008F | 1,581 | 1,337 | $8.00 | |
| 1160F | 1,909 | 1,626 | $8.00 | |
| 1159F | 906 | 791 | $8.00 | |
| 1036F | 1,791 | 1,504 | $0.00 | |
| 3074F | 796 | 668 | $0.00 | |
| 1125F | 369 | 262 | $0.00 | |
| 3075F | 31 | 30 | $0.00 | |
| 1126F | 269 | 175 | $0.00 | |
| 3079F | 97 | 84 | $0.00 | |
| 3725F | 397 | 317 | $0.00 | |
| 3078F | 696 | 580 | $0.00 | |
| 3288F | 28 | 26 | $0.00 | |
| 3077F | 30 | 13 | $0.00 |