NPI: 1508198813 · CALDWELL, ID 83605 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 55,754 | $2.07M |
| 2019 | 48,914 | $1.82M |
| 2020 | 27,960 | $1.00M |
| 2021 | 30,746 | $1.22M |
| 2022 | 30,116 | $1.36M |
| 2023 | 24,992 | $1.20M |
| 2024 | 23,791 | $1.15M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 100,001 | 94,250 | $9.76M |
| 99213 | 48,614 | 47,036 | $38K | |
| 99214 | 9,954 | 9,617 | $20K | |
| 36415 | 1,293 | 1,265 | $5K | |
| 99212 | 262 | 252 | $334.55 | |
| 90471 | 13,676 | 13,611 | $299.12 | |
| 87880 | 3,403 | 3,384 | $226.79 | |
| 99309 | 1,084 | 787 | $214.40 | |
| 99202 | 196 | 196 | $138.17 | |
| 90472 | 9,524 | 9,474 | $122.33 | |
| 90686 | 3,629 | 3,621 | $111.09 | |
| 99392 | 7,752 | 7,727 | $69.69 | |
| 99393 | 7,297 | 7,280 | $67.59 | |
| 99394 | 4,850 | 4,832 | $51.18 | |
| 81003 | 249 | 248 | $42.94 | |
| 99308 | 511 | 429 | $34.76 | |
| 90633 | 1,343 | 1,340 | $18.11 | |
| 90715 | 266 | 266 | $17.19 | |
| 90734 | 810 | 807 | $17.19 | |
| 90672 | 457 | 456 | $6.14 | |
| 90473 | 492 | 490 | $6.14 | |
| 87804 | 319 | 253 | $4.57 | |
| 90707 | 138 | 137 | $1.25 | |
| 90723 | 2,002 | 1,999 | $0.58 | |
| 90647 | 2,040 | 2,038 | $0.58 | |
| 90680 | 1,930 | 1,928 | $0.58 | |
| 90474 | 1,775 | 1,773 | $0.58 | |
| 99391 | 6,455 | 6,252 | $0.58 | |
| 90670 | 3,471 | 3,466 | $0.58 | |
| 90697 | 578 | 577 | $0.00 | |
| 87636 | 49 | 49 | $0.00 | |
| 87428 | 865 | 863 | $0.00 | |
| 96110 | 329 | 329 | $0.00 | |
| 90716 | 129 | 129 | $0.00 | |
| 90651 | 751 | 747 | $0.00 | |
| 99381 | 100 | 100 | $0.00 | |
| 90677 | 199 | 199 | $0.00 | |
| 96127 | 223 | 216 | $0.00 | |
| 3008F | 1,786 | 1,719 | $0.00 | |
| 90696 | 177 | 177 | $0.00 | |
| 87635 | 138 | 138 | $0.00 | |
| 87426 | 461 | 461 | $0.00 | |
| 0001A | 13 | 13 | $0.00 | |
| 91307 | 146 | 144 | $0.00 | |
| 0072A | 57 | 57 | $0.00 | |
| 90656 | 77 | 77 | $0.00 | |
| 90619 | 27 | 27 | $0.00 | |
| 87807 | 12 | 12 | $0.00 | |
| 85018 | 12 | 12 | $0.00 | |
| 90460 | 638 | 620 | $0.00 | |
| 90461 | 332 | 332 | $0.00 | |
| 99188 | 431 | 430 | $0.00 | |
| 90700 | 131 | 131 | $0.00 | |
| 91300 | 13 | 13 | $0.00 | |
| 99211 | 265 | 264 | $0.00 | |
| 90671 | 27 | 27 | $0.00 | |
| 90710 | 169 | 169 | $0.00 | |
| 90621 | 62 | 60 | $0.00 | |
| 99215 | Prolong outpt/office vis | 28 | 25 | $0.00 |
| 0071A | 49 | 49 | $0.00 | |
| 83655 | 13 | 13 | $0.00 | |
| 99203 | 151 | 151 | $0.00 | |
| 96381 | 42 | 42 | $0.00 |