NPI: 1467816199 · BURLEY, ID 83318 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 859 | $38K |
| 2019 | 1,068 | $54K |
| 2020 | 739 | $35K |
| 2021 | 740 | $36K |
| 2022 | 438 | $23K |
| 2023 | 109 | $11K |
| 2024 | 287 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,526 | 2,277 | $160K | |
| 99213 | 1,062 | 983 | $47K | |
| 99215 | Prolong outpt/office vis | 89 | 83 | $10K |
| 96127 | 386 | 202 | $1K | |
| 99212 | 40 | 39 | $1K | |
| 90674 | 40 | 38 | $692.07 | |
| 90471 | 37 | 32 | $412.18 | |
| 96372 | 14 | 12 | $181.42 | |
| G0008 | Admin influenza virus vac | 16 | 14 | $158.52 |
| 90686 | 17 | 15 | $156.42 | |
| 80305 | 13 | 13 | $111.46 |