NPI: 1255643243 · CALDWELL, ID 83605 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,084 | $154K |
| 2019 | 10,173 | $209K |
| 2020 | 3,693 | $126K |
| 2021 | 6,601 | $78K |
| 2022 | 6,683 | $97K |
| 2023 | 7,309 | $70K |
| 2024 | 7,271 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 25,166 | 1,857 | $751K | |
| J0887 | Epoetin beta esrd use | 743 | 497 | $20K |
| A4657 | Syringe w/wo needle | 8,330 | 630 | $8K |
| 87340 | 1,655 | 1,485 | $3K | |
| J1756 | Iron sucrose injection | 1,216 | 322 | $2K |
| 83970 | 617 | 542 | $1K | |
| 83540 | 1,860 | 1,657 | $1K | |
| 84155 | 1,789 | 1,599 | $1K | |
| 84466 | 566 | 529 | $1K | |
| 85018 | 3,189 | 1,296 | $727.51 | |
| 84075 | 1,574 | 1,409 | $712.06 | |
| 82728 | 606 | 550 | $396.34 | |
| G0008 | Admin influenza virus vac | 89 | 87 | $210.99 |
| 90688 | 34 | 33 | $183.44 | |
| 84100 | 172 | 150 | $65.07 | |
| 82040 | 172 | 148 | $47.33 | |
| 86706 | 179 | 166 | $46.22 | |
| 82310 | 99 | 89 | $23.94 | |
| 86704 | 78 | 70 | $23.85 | |
| 82565 | 46 | 39 | $2.68 | |
| 84460 | 733 | 699 | $0.61 | |
| 80069 | 1,302 | 1,163 | $0.00 | |
| 85025 | 1,392 | 1,233 | $0.00 | |
| 83550 | 994 | 848 | $0.00 | |
| 80051 | 26 | 24 | $0.00 | |
| 84132 | 28 | 12 | $0.00 | |
| 90682 | 12 | 12 | $0.00 | |
| 84520 | 2,147 | 1,456 | $-526.30 |