NPI: 1346658515 · POCATELLO, ID 83201 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,144 | $107K |
| 2019 | 852 | $166K |
| 2020 | 2,068 | $456K |
| 2021 | 2,707 | $527K |
| 2022 | 4,499 | $636K |
| 2023 | 3,779 | $457K |
| 2024 | 2,080 | $322K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 6,788 | 5,286 | $2.67M | |
| D0274 | 1,204 | 1,188 | $0.00 | |
| D1110 | 277 | 275 | $0.00 | |
| D0270 | 26 | 26 | $0.00 | |
| D0330 | 329 | 329 | $0.00 | |
| D4341 | 187 | 116 | $0.00 | |
| D3221 | 12 | 12 | $0.00 | |
| D0230 | 1,266 | 691 | $0.00 | |
| D0140 | 676 | 665 | $0.00 | |
| D0120 | 613 | 612 | $0.00 | |
| D1206 | 66 | 66 | $0.00 | |
| D1330 | 152 | 128 | $0.00 | |
| D2392 | 191 | 142 | $0.00 | |
| D0150 | 222 | 219 | $0.00 | |
| D0210 | 140 | 140 | $0.00 | |
| D2393 | 13 | 12 | $0.00 | |
| D9999 | 496 | 353 | $0.00 | |
| D7140 | 38 | 24 | $0.00 | |
| D1208 | 23 | 23 | $0.00 | |
| D0220 | 1,583 | 1,543 | $-45.30 | |
| D4910 | 637 | 633 | $-240.17 | |
| D9230 | 2,190 | 1,709 | $-934.54 |