NPI: 1497406904 · MERIDIAN, ID 83642 · 363LP0808X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,871 | $92K |
| 2024 | 10,782 | $318K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99349 | 4,797 | 2,835 | $202K | |
| 90833 | 4,864 | 3,052 | $75K | |
| 99350 | Prolong home eval add 15m | 845 | 599 | $48K |
| H2017 | Psysoc rehab svc, per 15 min | 680 | 216 | $32K |
| 99483 | Prolong outpt/office vis | 190 | 187 | $15K |
| 99214 | 125 | 115 | $11K | |
| T1017 | Targeted case management | 456 | 222 | $9K |
| H0038 | Self-help/peer svc per 15min | 113 | 39 | $8K |
| 99344 | 72 | 70 | $4K | |
| 90834 | 39 | 18 | $2K | |
| 96138 | 317 | 243 | $1K | |
| 90853 | 86 | 53 | $1K | |
| 99345 | Prolong home eval add 15m | 12 | 12 | $1K |
| 90785 | 225 | 83 | $739.98 | |
| 90832 | 22 | 13 | $120.36 | |
| 96127 | 277 | 267 | $1.20 | |
| 99484 | 533 | 501 | $0.00 |