NPI: 1386110963 · IDAHO FALLS, ID 83404 · 111N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 300 | $19K |
| 2021 | 1,473 | $82K |
| 2022 | 2,144 | $124K |
| 2023 | 1,391 | $89K |
| 2024 | 946 | $71K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,410 | 3,075 | $261K | |
| 99213 | 1,827 | 1,712 | $106K | |
| 87636 | 40 | 38 | $5K | |
| 99215 | Prolong outpt/office vis | 33 | 31 | $3K |
| 87426 | 78 | 77 | $3K | |
| 36415 | 717 | 675 | $2K | |
| 99204 | 14 | 12 | $2K | |
| 87804 | 61 | 60 | $1K | |
| 99203 | 12 | 12 | $1K | |
| G2023 | Specimen collect covid-19 | 38 | 38 | $752.08 |
| 96372 | 12 | 12 | $196.44 | |
| 80053 | 12 | 12 | $140.88 |