NPI: 1336220243 · IDAHO FALLS, ID 83404 · 207RE0101X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,735 | $205K |
| 2019 | 12,060 | $228K |
| 2020 | 14,038 | $314K |
| 2021 | 18,859 | $416K |
| 2022 | 20,666 | $446K |
| 2023 | 17,617 | $421K |
| 2024 | 15,948 | $448K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 14,418 | 13,530 | $906K | |
| 99213 | 9,159 | 8,733 | $495K | |
| G0108 | Diab manage trn per indiv | 3,900 | 3,440 | $224K |
| 99204 | 1,758 | 1,738 | $221K | |
| 84443 | 7,796 | 7,595 | $103K | |
| 83036 | 13,239 | 12,883 | $89K | |
| 80053 | 10,109 | 9,799 | $73K | |
| 95251 | 2,796 | 2,750 | $68K | |
| 80061 | 5,970 | 5,833 | $59K | |
| 36415 | 19,098 | 18,241 | $50K | |
| 84439 | 5,019 | 4,914 | $39K | |
| 83037 | 2,005 | 1,975 | $18K | |
| 84481 | 1,680 | 1,640 | $18K | |
| 82306 | 1,030 | 1,002 | $14K | |
| G2211 | Complex e/m visit add on | 813 | 812 | $11K |
| 83001 | 605 | 588 | $11K | |
| 83002 | 604 | 591 | $11K | |
| 84305 | 471 | 462 | $10K | |
| 84403 | 371 | 363 | $9K | |
| 82043 | 2,238 | 2,153 | $7K | |
| 82570 | 2,302 | 2,214 | $7K | |
| 83516 | 461 | 451 | $6K | |
| 85027 | 1,047 | 1,013 | $4K | |
| 83970 | 199 | 189 | $4K | |
| 86364 | 375 | 373 | $3K | |
| 82784 | 269 | 261 | $2K | |
| 83721 | 495 | 483 | $2K | |
| 82670 | 78 | 75 | $2K | |
| 85025 | 286 | 282 | $2K | |
| 82607 | 136 | 132 | $2K | |
| 11721 | 83 | 77 | $1K | |
| 99203 | 13 | 13 | $1K | |
| 80048 | 193 | 184 | $1K | |
| 82947 | 425 | 415 | $1K | |
| 90686 | 91 | 88 | $656.88 | |
| 99212 | 44 | 26 | $511.21 | |
| 86800 | 29 | 25 | $485.26 | |
| 90471 | 27 | 27 | $461.17 | |
| 86376 | 28 | 25 | $417.48 | |
| 81003 | 421 | 389 | $377.30 | |
| 82728 | 25 | 24 | $245.88 | |
| 84681 | 12 | 12 | $204.35 | |
| 82565 | 39 | 39 | $136.61 | |
| 85652 | 13 | 13 | $29.76 | |
| G0008 | Admin influenza virus vac | 12 | 12 | $9.12 |
| 3074F | 41 | 38 | $0.00 | |
| 4010F | 27 | 26 | $0.00 | |
| 3008F | 170 | 154 | $0.00 | |
| 1036F | 172 | 159 | $0.00 | |
| 3061F | 12 | 12 | $0.00 | |
| 1159F | 254 | 240 | $0.00 | |
| 1160F | 15 | 15 | $0.00 | |
| 96160 | 38 | 33 | $0.00 | |
| 3078F | 12 | 12 | $0.00 |