NPI: 1275619090 · IDAHO FALLS, ID 83404 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,393 | $58K |
| 2019 | 3,566 | $53K |
| 2020 | 5,119 | $82K |
| 2021 | 6,013 | $97K |
| 2022 | 5,182 | $80K |
| 2023 | 4,861 | $74K |
| 2024 | 2,291 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 4,214 | 4,203 | $336K | |
| D2392 | 989 | 469 | $44K | |
| D1120 | 451 | 450 | $38K | |
| D0140 | 662 | 649 | $18K | |
| D0330 | 350 | 350 | $15K | |
| D0274 | 3,805 | 3,795 | $14K | |
| D0210 | 94 | 94 | $12K | |
| D0120 | 5,416 | 5,400 | $4K | |
| D9420 | 39 | 39 | $3K | |
| D7140 | 38 | 30 | $968.63 | |
| D0150 | 98 | 98 | $490.48 | |
| D0220 | 5,229 | 4,915 | $480.04 | |
| D1351 | 1,025 | 241 | $441.03 | |
| D4910 | 12 | 12 | $429.07 | |
| D2391 | 23 | 14 | $235.76 | |
| D0272 | 471 | 470 | $41.47 | |
| D1206 | 1,552 | 1,551 | $28.50 | |
| D1208 | 2,541 | 2,533 | $-129.39 | |
| D0230 | 4,416 | 2,476 | $-378.98 |