NPI: 1407886484 · PAYETTE, ID 83661 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 43,889 | $1.86M |
| 2019 | 58,349 | $2.38M |
| 2020 | 49,826 | $2.34M |
| 2021 | 53,228 | $1.99M |
| 2022 | 58,272 | $2.08M |
| 2023 | 41,307 | $1.92M |
| 2024 | 36,937 | $1.37M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 45,589 | 39,687 | $9.21M |
| 99213 | 95,092 | 81,166 | $1.73M | |
| 99214 | 24,720 | 21,359 | $841K | |
| D7140 | 1,706 | 895 | $107K | |
| 99391 | 3,932 | 3,701 | $107K | |
| 99203 | 1,376 | 1,361 | $98K | |
| 76816 | 1,350 | 1,266 | $97K | |
| 59400 | 43 | 41 | $86K | |
| D1110 | 1,935 | 1,917 | $76K | |
| D0120 | 3,090 | 3,069 | $72K | |
| 90686 | 3,796 | 3,777 | $66K | |
| 76805 | 695 | 675 | $60K | |
| D1206 | 4,252 | 4,198 | $54K | |
| D2150 | 962 | 709 | $53K | |
| 99212 | 2,272 | 2,161 | $52K | |
| D1120 | 1,488 | 1,479 | $50K | |
| 99394 | 1,440 | 1,399 | $48K | |
| 99392 | 3,103 | 3,069 | $47K | |
| D4910 | 867 | 850 | $47K | |
| D0150 | 1,391 | 1,369 | $47K | |
| 99393 | 1,994 | 1,963 | $46K | |
| D0274 | 2,002 | 1,983 | $45K | |
| 90670 | 2,295 | 2,266 | $44K | |
| 99215 | Prolong outpt/office vis | 679 | 607 | $44K |
| 99395 | 600 | 588 | $42K | |
| D0140 | 1,359 | 1,336 | $41K | |
| D2392 | 768 | 600 | $37K | |
| 76801 | 472 | 459 | $34K | |
| 90648 | 1,789 | 1,770 | $29K | |
| D0210 | 681 | 668 | $28K | |
| 90680 | 1,389 | 1,373 | $27K | |
| D2391 | 627 | 460 | $25K | |
| 99396 | 303 | 301 | $25K | |
| D2140 | 527 | 383 | $24K | |
| 87426 | 3,210 | 3,071 | $24K | |
| 90715 | 999 | 977 | $23K | |
| 96372 | 1,772 | 1,548 | $23K | |
| D0220 | 2,213 | 2,145 | $21K | |
| 90471 | 4,786 | 4,753 | $21K | |
| 90633 | 1,017 | 1,000 | $21K | |
| 90651 | 910 | 889 | $20K | |
| 87428 | 973 | 960 | $19K | |
| D4341 | 343 | 167 | $19K | |
| 83036 | 5,630 | 5,212 | $19K | |
| 99490 | Ccm add 20min | 874 | 850 | $19K |
| 90723 | 1,124 | 1,113 | $18K | |
| 36415 | 13,583 | 12,599 | $17K | |
| 87880 | 2,776 | 2,719 | $15K | |
| G0467 | Fqhc visit, estab pt | 16,335 | 10,056 | $14K |
| 90734 | 688 | 665 | $14K | |
| D2393 | 238 | 210 | $13K | |
| J1050 | Medroxyprogesterone acetate | 243 | 241 | $13K |
| 90677 | 375 | 375 | $12K | |
| 87804 | 1,628 | 1,606 | $10K | |
| 0012A | 303 | 295 | $8K | |
| 99204 | 71 | 70 | $7K | |
| 0011A | 291 | 289 | $7K | |
| 90834 | 5,073 | 3,148 | $7K | |
| 0001A | 187 | 183 | $7K | |
| 81025 | 1,368 | 1,322 | $6K | |
| 0002A | 151 | 150 | $5K | |
| 82948 | 3,393 | 2,794 | $5K | |
| 81002 | 3,029 | 2,879 | $5K | |
| D0230 | 933 | 452 | $5K | |
| 90700 | 211 | 200 | $4K | |
| 97802 | 68 | 67 | $4K | |
| 90710 | 174 | 170 | $4K | |
| 76830 | 41 | 41 | $3K | |
| 90698 | 178 | 177 | $3K | |
| 91320 | 22 | 22 | $3K | |
| 90681 | 129 | 129 | $3K | |
| 94640 | 364 | 328 | $3K | |
| 90656 | 123 | 123 | $3K | |
| 0031A | 114 | 114 | $3K | |
| 99202 | 51 | 51 | $3K | |
| 90472 | 1,687 | 1,517 | $2K | |
| 83655 | 1,138 | 1,125 | $2K | |
| 90696 | 112 | 111 | $2K | |
| 99238 | 37 | 37 | $2K | |
| 93000 | 211 | 202 | $2K | |
| 97803 | 89 | 75 | $2K | |
| 0072A | 53 | 53 | $2K | |
| 99381 | 56 | 52 | $2K | |
| D2160 | 30 | 25 | $2K | |
| 90716 | 94 | 94 | $2K | |
| 90707 | 66 | 66 | $1K | |
| 90791 | 314 | 303 | $1K | |
| 0071A | 36 | 35 | $1K | |
| 85018 | 1,764 | 1,726 | $1K | |
| 99460 | 27 | 27 | $1K | |
| D2331 | 18 | 12 | $1K | |
| D0272 | 96 | 95 | $1K | |
| D1351 | 34 | 16 | $1K | |
| D7210 | 18 | 14 | $1K | |
| G2012 | Brief check in by md/qhp | 76 | 73 | $1K |
| 99408 | 55 | 55 | $1K | |
| 0064A | 70 | 54 | $1K | |
| 87807 | 185 | 176 | $970.67 | |
| 82947 | 1,082 | 1,048 | $958.04 | |
| 99442 | 47 | 47 | $913.52 | |
| 90480 | 22 | 22 | $902.00 | |
| 90837 | 1,176 | 778 | $846.63 | |
| 90682 | 16 | 16 | $696.96 | |
| 76856 | 16 | 15 | $479.58 | |
| 99443 | 17 | 17 | $449.68 | |
| 90460 | 409 | 407 | $410.82 | |
| 90847 | 116 | 67 | $379.88 | |
| 99441 | 82 | 74 | $377.06 | |
| 90744 | 16 | 16 | $351.36 | |
| 90461 | 288 | 270 | $349.69 | |
| 96127 | 3,836 | 3,642 | $349.46 | |
| 69210 | 12 | 12 | $297.60 | |
| 80305 | 66 | 63 | $255.78 | |
| 90792 | 17 | 13 | $241.56 | |
| A4627 | Spacer bag/reservoir | 30 | 28 | $224.91 |
| 99211 | 52 | 49 | $224.82 | |
| 90688 | 17 | 17 | $219.60 | |
| J1885 | Ketorolac tromethamine inj | 211 | 158 | $215.90 |
| 90647 | 12 | 12 | $182.28 | |
| 99188 | 72 | 72 | $116.73 | |
| 90832 | 928 | 672 | $114.80 | |
| 92552 | 151 | 151 | $109.12 | |
| 82043 | 29 | 29 | $94.42 | |
| 96160 | 2,086 | 2,019 | $86.00 | |
| 69209 | 15 | 15 | $66.51 | |
| D0270 | 12 | 12 | $55.00 | |
| 99173 | 1,916 | 1,863 | $54.02 | |
| 92587 | 269 | 264 | $41.60 | |
| 93005 | 13 | 12 | $37.84 | |
| D1354 | 47 | 35 | $36.00 | |
| J0696 | Ceftriaxone sodium injection | 14 | 14 | $22.77 |
| 92551 | 1,072 | 1,050 | $11.20 | |
| 96110 | 4,171 | 4,126 | $8.00 | |
| 36416 | 336 | 308 | $2.29 | |
| 3079F | 618 | 593 | $0.00 | |
| 3080F | 58 | 58 | $0.00 | |
| 3074F | 1,819 | 1,703 | $0.00 | |
| 2010F | 3,463 | 3,212 | $0.00 | |
| 2001F | 3,199 | 2,973 | $0.00 | |
| D1330 | 1,848 | 1,759 | $0.00 | |
| 93786 | 17 | 17 | $0.00 | |
| D0603 | 1,193 | 1,182 | $0.00 | |
| 3008F | 2,820 | 2,616 | $0.00 | |
| 1126F | 291 | 273 | $0.00 | |
| 2000F | 1,014 | 923 | $0.00 | |
| 91303 | 41 | 41 | $0.00 | |
| 94760 | 553 | 500 | $0.00 | |
| 99000 | 545 | 510 | $0.00 | |
| 4010F | 64 | 50 | $0.00 | |
| 3075F | 143 | 138 | $0.00 | |
| 4037F | 26 | 26 | $0.00 | |
| 92558 | 63 | 63 | $0.00 | |
| 91301 | 34 | 34 | $0.00 | |
| 1125F | 92 | 87 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 35 | 18 | $0.00 |
| G8510 | Scr dep neg, no plan reqd | 29 | 28 | $0.00 |
| G8754 | Dias bp less 90 | 58 | 56 | $0.00 |
| 3044F | 12 | 12 | $0.00 | |
| D0602 | 48 | 48 | $0.00 | |
| J7620 | Albuterol ipratrop non-comp | 17 | 15 | $0.00 |
| 1160F | 2,482 | 2,291 | $0.00 | |
| D0191 | 513 | 496 | $0.00 | |
| 3078F | 1,474 | 1,390 | $0.00 | |
| 1159F | 2,484 | 2,291 | $0.00 | |
| 4040F | 103 | 97 | $0.00 | |
| 90685 | 15 | 15 | $0.00 | |
| Q0091 | Obtaining screen pap smear | 257 | 248 | $0.00 |
| 0502F | 253 | 203 | $0.00 | |
| 4274F | 50 | 47 | $0.00 | |
| 3077F | 166 | 157 | $0.00 | |
| 90473 | 13 | 13 | $0.00 | |
| 91300 | 16 | 16 | $0.00 | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 370 | 287 | $-120.64 |