NPI: 1366637068 · PLUMMER, ID 83851 · 261QH0100X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,599 | $1.65M |
| 2019 | 14,328 | $2.07M |
| 2020 | 17,945 | $2.84M |
| 2021 | 22,357 | $3.84M |
| 2022 | 26,390 | $5.50M |
| 2023 | 26,598 | $5.39M |
| 2024 | 17,941 | $4.23M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 37,927 | 26,240 | $19.13M |
| D0999 | 11,097 | 10,567 | $5.86M | |
| 99213 | 12,622 | 10,635 | $108K | |
| 99214 | 12,663 | 10,708 | $105K | |
| G0467 | Fqhc visit, estab pt | 4,583 | 3,344 | $105K |
| 36415 | 5,267 | 4,933 | $25K | |
| 99212 | 1,730 | 1,606 | $24K | |
| 98941 | 1,575 | 1,087 | $18K | |
| 80053 | 3,184 | 3,055 | $13K | |
| 92014 | 1,708 | 1,706 | $13K | |
| 85025 | 3,495 | 3,339 | $12K | |
| 83036 | 2,563 | 2,557 | $11K | |
| 87400 | 2,554 | 2,429 | $10K | |
| 98940 | 1,039 | 727 | $9K | |
| 96372 | 1,241 | 1,122 | $8K | |
| 92015 | 1,473 | 1,468 | $8K | |
| 80061 | 2,005 | 2,000 | $8K | |
| 87430 | 1,471 | 1,404 | $6K | |
| 84443 | 1,948 | 1,941 | $6K | |
| 80307 | 817 | 717 | $6K | |
| 81001 | 1,057 | 1,004 | $5K | |
| 87081 | 586 | 562 | $3K | |
| 81003 | 940 | 914 | $3K | |
| D1999 | 1,089 | 1,047 | $2K | |
| 90471 | 795 | 789 | $2K | |
| G2025 | Dis site tele svcs rhc/fqhc | 359 | 278 | $1K |
| 90460 | 491 | 489 | $685.90 | |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 13 | 13 | $601.30 |
| 71046 | 27 | 27 | $596.36 | |
| U0001 | 2019-ncov diagnostic p | 584 | 557 | $476.57 |
| 90472 | 61 | 61 | $476.18 | |
| G0008 | Admin influenza virus vac | 12 | 12 | $464.62 |
| 98943 | 248 | 185 | $239.50 | |
| 87635 | 2,148 | 2,038 | $234.89 | |
| 87086 | 142 | 134 | $233.85 | |
| 81025 | 381 | 364 | $225.96 | |
| 99393 | 14 | 14 | $176.56 | |
| 99215 | Prolong outpt/office vis | 1,140 | 1,073 | $141.16 |
| 90833 | 14 | 12 | $109.34 | |
| D0330 | 369 | 368 | $25.60 | |
| 90688 | 181 | 181 | $17.65 | |
| D0274 | 1,269 | 1,264 | $0.00 | |
| D1110 | 1,474 | 1,469 | $0.00 | |
| 99392 | 50 | 50 | $0.00 | |
| D1120 | 99 | 99 | $0.00 | |
| D2391 | 60 | 40 | $0.00 | |
| 87491 | 65 | 64 | $0.00 | |
| D4910 | 90 | 89 | $0.00 | |
| 86708 | 51 | 51 | $0.00 | |
| 99396 | 58 | 58 | $0.00 | |
| 96158 | 79 | 74 | $0.00 | |
| 90461 | 107 | 105 | $0.00 | |
| 80348 | 50 | 38 | $0.00 | |
| G0470 | Fqhc visit, mh estab pt | 15 | 12 | $0.00 |
| 90715 | 12 | 12 | $0.00 | |
| 91313 | 12 | 12 | $0.00 | |
| 91322 | 17 | 17 | $0.00 | |
| D1206 | 982 | 979 | $0.00 | |
| D0120 | 1,813 | 1,809 | $0.00 | |
| D0140 | 464 | 449 | $0.00 | |
| 80048 | 24 | 24 | $0.00 | |
| 86706 | 51 | 51 | $0.00 | |
| 86803 | 179 | 178 | $0.00 | |
| 86704 | 50 | 50 | $0.00 | |
| D2392 | 74 | 54 | $0.00 | |
| D0150 | 428 | 425 | $0.00 | |
| 82306 | 184 | 183 | $0.00 | |
| 93000 | 12 | 12 | $0.00 | |
| 87340 | 64 | 64 | $0.00 | |
| 91301 | 12 | 12 | $0.00 | |
| 87591 | 65 | 64 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 151 | 138 | $0.00 |
| 0134A | 13 | 13 | $0.00 | |
| 90656 | 20 | 20 | $0.00 | |
| D7140 | 54 | 25 | $0.00 | |
| 87389 | 56 | 56 | $0.00 | |
| D0272 | 36 | 36 | $0.00 | |
| 90480 | 18 | 18 | $0.00 | |
| D0220 | 3,964 | 3,877 | $-1038.00 | |
| D0230 | 4,323 | 2,232 | $-1678.00 |