NPI: 1376160457 · JEROME, ID 83338 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 967 | $48K |
| 2022 | 1,701 | $115K |
| 2023 | 910 | $77K |
| 2024 | 730 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 2,976 | 2,770 | $301K |
| 99213 | 803 | 762 | $332.27 | |
| 99214 | 111 | 98 | $91.19 | |
| 87635 | 53 | 53 | $27.38 | |
| 99203 | 64 | 63 | $0.00 | |
| 87804 | 14 | 13 | $0.00 | |
| 90461 | 87 | 36 | $0.00 | |
| 99391 | 35 | 32 | $0.00 | |
| 87631 | 13 | 13 | $0.00 | |
| 90460 | 50 | 49 | $0.00 | |
| 90670 | 15 | 14 | $0.00 | |
| 87651 | 28 | 28 | $0.00 | |
| 90723 | 12 | 12 | $0.00 | |
| 87426 | 35 | 34 | $0.00 | |
| 90647 | 12 | 12 | $0.00 |