NPI: 1215511241 · POCATELLO, ID 83201 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,418 | $219K |
| 2023 | 5,040 | $353K |
| 2024 | 4,127 | $291K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 5,706 | 5,469 | $508K | |
| 99213 | 3,526 | 3,403 | $224K | |
| 99203 | 511 | 508 | $40K | |
| 99215 | Prolong outpt/office vis | 198 | 192 | $28K |
| 87502 | 251 | 245 | $19K | |
| 87635 | 331 | 325 | $13K | |
| 87651 | 291 | 289 | $8K | |
| 96372 | 722 | 590 | $6K | |
| 95886 | 93 | 50 | $5K | |
| 99204 | 40 | 40 | $5K | |
| 99205 | Prolong outpt/office vis | 13 | 12 | $2K |
| 36415 | 553 | 537 | $2K | |
| 81003 | 191 | 187 | $322.64 | |
| 87880 | 17 | 16 | $238.08 | |
| 87807 | 15 | 15 | $165.06 | |
| J1885 | Ketorolac tromethamine inj | 84 | 77 | $120.00 |
| J1100 | Dexamethasone sodium phos | 28 | 28 | $22.31 |
| S9088 | Services provided in urgent | 15 | 14 | $0.00 |