NPI: 1427788033 · MERIDIAN, ID 83642 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,158 | $92K |
| 2023 | 8,314 | $330K |
| 2024 | 6,098 | $267K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,897 | 1,893 | $142K | |
| D2392 | 2,072 | 919 | $138K | |
| D7210 | 1,190 | 319 | $115K | |
| D2393 | 388 | 271 | $92K | |
| D0210 | 572 | 572 | $68K | |
| D0330 | 1,067 | 1,066 | $53K | |
| D0140 | 927 | 921 | $23K | |
| D4910 | 165 | 165 | $14K | |
| D2391 | 680 | 409 | $14K | |
| D4341 | 209 | 70 | $12K | |
| D7140 | 104 | 24 | $9K | |
| D0150 | 1,052 | 1,051 | $4K | |
| D0274 | 1,770 | 1,768 | $3K | |
| D0120 | 1,189 | 1,188 | $1K | |
| D2331 | 18 | 12 | $945.67 | |
| D0220 | 1,613 | 1,593 | $203.51 | |
| D1208 | 1,060 | 1,058 | $53.63 | |
| D0230 | 1,597 | 910 | $0.00 |