NPI: 1417297821 · MOUNTAIN HOME, ID 83647 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,028 | $1.02M |
| 2019 | 17,017 | $1.04M |
| 2020 | 14,169 | $956K |
| 2021 | 14,735 | $961K |
| 2022 | 17,647 | $1.14M |
| 2023 | 12,996 | $994K |
| 2024 | 8,352 | $748K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 34,564 | 30,777 | $5.23M |
| 99213 | 29,222 | 27,981 | $1.02M | |
| 99284 | 1,479 | 1,457 | $126K | |
| 99285 | 1,082 | 1,061 | $119K | |
| 87428 | 1,822 | 1,813 | $97K | |
| 99214 | 3,740 | 3,535 | $84K | |
| 87880 | 3,775 | 3,748 | $50K | |
| 99283 | 881 | 873 | $44K | |
| 99203 | 473 | 473 | $35K | |
| 99282 | 521 | 519 | $17K | |
| 99212 | 3,167 | 2,428 | $11K | |
| 90471 | 6,112 | 6,017 | $9K | |
| 99202 | 151 | 151 | $7K | |
| 99238 | 26 | 25 | $2K | |
| 90472 | 3,369 | 3,134 | $2K | |
| 87804 | 91 | 89 | $1K | |
| 71046 | 62 | 62 | $864.75 | |
| 94640 | 79 | 77 | $852.16 | |
| 99392 | 1,736 | 1,732 | $706.70 | |
| 90832 | 19 | 13 | $674.74 | |
| 99391 | 1,529 | 1,433 | $565.36 | |
| 81003 | 334 | 303 | $492.27 | |
| 96372 | 26 | 26 | $399.28 | |
| 99215 | Prolong outpt/office vis | 288 | 277 | $295.71 |
| 73630 | 22 | 13 | $256.80 | |
| 90686 | 1,700 | 1,698 | $206.57 | |
| 87807 | 15 | 15 | $199.80 | |
| 90656 | 48 | 48 | $71.16 | |
| J3490 | Drugs unclassified injection | 122 | 112 | $63.47 |
| 36415 | 18 | 17 | $43.36 | |
| J1100 | Dexamethasone sodium phos | 46 | 44 | $41.46 |
| 90474 | 249 | 248 | $36.19 | |
| 96110 | 688 | 680 | $27.68 | |
| J1885 | Ketorolac tromethamine inj | 15 | 15 | $12.35 |
| 81002 | 240 | 170 | $9.39 | |
| J7620 | Albuterol ipratrop non-comp | 76 | 74 | $6.75 |
| J7613 | Albuterol non-comp unit | 14 | 14 | $1.16 |
| 90647 | 290 | 289 | $0.00 | |
| 90723 | 366 | 365 | $0.00 | |
| 90688 | 52 | 52 | $0.00 | |
| 90680 | 214 | 213 | $0.00 | |
| 96127 | 208 | 207 | $0.00 | |
| 99383 | 12 | 12 | $0.00 | |
| 91307 | 18 | 16 | $0.00 | |
| 90619 | 12 | 12 | $0.00 | |
| 90651 | 25 | 25 | $0.00 | |
| 99177 | 14 | 14 | $0.00 | |
| 99393 | 967 | 963 | $0.00 | |
| 90670 | 714 | 712 | $0.00 | |
| 99394 | 132 | 132 | $0.00 | |
| 91300 | 18 | 16 | $0.00 | |
| 90633 | 75 | 75 | $0.00 | |
| 99382 | 13 | 13 | $0.00 | |
| 90734 | 13 | 13 | $0.00 |