NPI: 1265662043 · GREAT FALLS, MT 59405 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,363 | $893K |
| 2019 | 14,183 | $651K |
| 2020 | 12,639 | $714K |
| 2021 | 15,863 | $1.13M |
| 2022 | 16,811 | $1.23M |
| 2023 | 11,967 | $794K |
| 2024 | 8,201 | $556K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2393 | 5,021 | 2,854 | $857K | |
| D2392 | 6,546 | 3,534 | $824K | |
| D2740 | 852 | 722 | $497K | |
| D1110 | 6,538 | 6,158 | $311K | |
| D5226 | 441 | 361 | $253K | |
| D2394 | 1,342 | 885 | $250K | |
| D1320 | 7,075 | 6,611 | $244K | |
| D0274 | 6,449 | 6,066 | $205K | |
| D1206 | 9,666 | 9,024 | $190K | |
| D0330 | 3,778 | 3,527 | $189K | |
| D0120 | 7,928 | 7,470 | $184K | |
| D5225 | 323 | 258 | $182K | |
| D2391 | 2,734 | 1,618 | $170K | |
| D3120 | 5,400 | 2,962 | $163K | |
| D4341 | 885 | 394 | $146K | |
| D0367 | 480 | 466 | $130K | |
| D0150 | 3,489 | 3,268 | $113K | |
| D1354 | 5,232 | 1,217 | $103K | |
| D0140 | 3,080 | 2,845 | $99K | |
| D2950 | 802 | 680 | $95K | |
| D2335 | 653 | 371 | $81K | |
| D4910 | 1,249 | 1,203 | $79K | |
| D0220 | 4,690 | 3,993 | $75K | |
| D2331 | 706 | 464 | $67K | |
| D2332 | 606 | 369 | $63K | |
| D7210 | 451 | 242 | $55K | |
| D4342 | 589 | 289 | $52K | |
| D7140 | 775 | 257 | $52K | |
| D1120 | 1,281 | 1,199 | $43K | |
| D1351 | 1,644 | 440 | $42K | |
| D2330 | 647 | 426 | $40K | |
| D9110 | 484 | 433 | $30K | |
| D9920 | 155 | 140 | $16K | |
| D2751 | 32 | 30 | $15K | |
| D9940 | 33 | 32 | $10K | |
| D0272 | 347 | 323 | $7K | |
| D9944 | 27 | 25 | $6K | |
| D0603 | 587 | 537 | $6K | |
| D0230 | 692 | 427 | $6K | |
| D1310 | 217 | 213 | $5K | |
| D1330 | 343 | 328 | $5K | |
| D9630 | 311 | 282 | $5K | |
| D0270 | 151 | 146 | $2K | |
| D3110 | 62 | 46 | $2K | |
| D0602 | 125 | 112 | $1K | |
| D4355 | 16 | 12 | $913.55 | |
| D9987 | 93 | 90 | $0.00 |