NPI: 1407801939 · MERIDIAN, ID 83646 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,956 | $158K |
| 2019 | 8,060 | $148K |
| 2020 | 6,113 | $117K |
| 2021 | 5,556 | $115K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 3,177 | 3,177 | $195K | |
| D1110 | 1,651 | 1,650 | $129K | |
| D2392 | 2,032 | 1,231 | $120K | |
| D0150 | 433 | 433 | $22K | |
| D0330 | 292 | 292 | $19K | |
| D2391 | 388 | 291 | $17K | |
| D0210 | 138 | 138 | $11K | |
| D9420 | 14 | 14 | $6K | |
| D7140 | 278 | 148 | $5K | |
| D1351 | 1,982 | 346 | $5K | |
| D0120 | 4,435 | 4,433 | $4K | |
| D2393 | 19 | 16 | $2K | |
| D0140 | 55 | 55 | $1K | |
| D9230 | 519 | 464 | $656.62 | |
| D0220 | 1,677 | 1,607 | $386.16 | |
| D0274 | 1,203 | 1,203 | $97.84 | |
| D0272 | 2,021 | 2,020 | $25.60 | |
| D0230 | 3,076 | 1,233 | $0.00 | |
| D1208 | 4,295 | 4,294 | $-74.47 |