NPI: 1467480582 · BLACKFOOT, ID 83221 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,848 | $33K |
| 2019 | 4,099 | $89K |
| 2020 | 1,689 | $132K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 4,726 | 356 | $245K | |
| J0887 | Epoetin beta esrd use | 58 | 40 | $4K |
| A4657 | Syringe w/wo needle | 403 | 65 | $2K |
| J1756 | Iron sucrose injection | 125 | 37 | $1K |
| 84520 | 292 | 124 | $151.74 | |
| 83540 | 181 | 156 | $131.07 | |
| 82310 | 189 | 156 | $130.12 | |
| 82040 | 200 | 155 | $130.12 | |
| 84100 | 223 | 156 | $129.83 | |
| 84155 | 181 | 156 | $129.04 | |
| 82565 | 155 | 124 | $76.72 | |
| 82728 | 67 | 53 | $53.40 | |
| 87340 | 155 | 131 | $53.40 | |
| 83970 | 54 | 40 | $0.00 | |
| 82108 | 14 | 13 | $0.00 | |
| 84466 | 22 | 12 | $0.00 | |
| 83735 | 42 | 28 | $0.00 | |
| 80051 | 175 | 150 | $0.00 | |
| 85025 | 176 | 153 | $0.00 | |
| 84075 | 51 | 38 | $0.00 | |
| 85018 | 118 | 37 | $0.00 | |
| 86706 | 15 | 14 | $0.00 | |
| 82746 | 14 | 13 | $0.00 |