NPI: 1487729901 · IDAHO FALLS, ID 83406 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,443 | $62K |
| 2019 | 1,953 | $50K |
| 2020 | 1,691 | $39K |
| 2021 | 1,603 | $35K |
| 2022 | 1,429 | $37K |
| 2023 | 1,726 | $44K |
| 2024 | 1,552 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 2,287 | 1,273 | $134K | |
| D1110 | 1,689 | 1,687 | $118K | |
| D2393 | 256 | 176 | $27K | |
| D1120 | 139 | 139 | $10K | |
| D1206 | 249 | 247 | $9K | |
| D2391 | 112 | 82 | $2K | |
| D0220 | 922 | 697 | $2K | |
| D1208 | 1,356 | 1,354 | $1K | |
| D0120 | 1,961 | 1,958 | $1K | |
| D0274 | 1,711 | 1,706 | $1K | |
| D9230 | 1,380 | 1,074 | $642.12 | |
| D0140 | 24 | 24 | $524.53 | |
| D0330 | 42 | 42 | $493.93 | |
| D0230 | 171 | 86 | $0.00 | |
| D0272 | 86 | 86 | $0.00 | |
| D0150 | 12 | 12 | $0.00 |