NPI: 1528089356 · PAYETTE, ID 83661 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 944 | $233K |
| 2019 | 528 | $117K |
| 2020 | 2,495 | $264K |
| 2021 | 6,205 | $592K |
| 2022 | 5,358 | $544K |
| 2023 | 6,648 | $676K |
| 2024 | 4,300 | $543K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 17,125 | 9,308 | $2.91M | |
| D1110 | 1,214 | 1,211 | $35K | |
| D0140 | 1,325 | 1,309 | $6K | |
| D7140 | 1,430 | 517 | $5K | |
| D2392 | 483 | 353 | $3K | |
| D4910 | 25 | 25 | $2K | |
| D0220 | 1,657 | 1,609 | $958.50 | |
| D0150 | 822 | 821 | $699.45 | |
| D0120 | 822 | 820 | $323.81 | |
| D1206 | 399 | 398 | $323.81 | |
| D1120 | 38 | 38 | $0.00 | |
| D0274 | 529 | 527 | $0.00 | |
| D7210 | 18 | 12 | $0.00 | |
| D2391 | 177 | 126 | $0.00 | |
| D4341 | 30 | 13 | $0.00 | |
| D0270 | 12 | 12 | $0.00 | |
| D0210 | 324 | 324 | $0.00 | |
| D1351 | 48 | 13 | $0.00 |