NPI: 1538405410 · KIMBERLY, ID 83341 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,330 | $585K |
| 2019 | 4,753 | $556K |
| 2020 | 5,080 | $522K |
| 2021 | 4,406 | $473K |
| 2022 | 4,322 | $446K |
| 2023 | 8,719 | $481K |
| 2024 | 8,697 | $474K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 13,067 | 11,649 | $2.93M |
| D0999 | 2,014 | 1,708 | $583K | |
| 90471 | 2,432 | 2,380 | $14K | |
| 99213 | 7,791 | 7,095 | $6K | |
| 87426 | 139 | 138 | $1K | |
| 90686 | 871 | 860 | $801.77 | |
| 99214 | 112 | 104 | $800.30 | |
| 0011A | 27 | 27 | $785.82 | |
| 90472 | 133 | 132 | $740.21 | |
| 0012A | 16 | 16 | $525.00 | |
| 0072A | 16 | 16 | $450.00 | |
| 0074A | 13 | 13 | $300.00 | |
| 36415 | 382 | 366 | $243.60 | |
| 0001A | 12 | 12 | $240.00 | |
| 0134A | 13 | 13 | $240.00 | |
| 90480 | 18 | 18 | $70.00 | |
| 83036 | 82 | 82 | $34.33 | |
| 80305 | 14 | 13 | $7.18 | |
| 3079F | 376 | 353 | $0.00 | |
| 3074F | 2,149 | 2,000 | $0.00 | |
| 2001F | 2,755 | 2,541 | $0.00 | |
| D0120 | 342 | 341 | $0.00 | |
| G8754 | Dias bp less 90 | 930 | 880 | $0.00 |
| D1206 | 119 | 119 | $0.00 | |
| D0140 | 68 | 68 | $0.00 | |
| D0150 | 51 | 51 | $0.00 | |
| 91301 | 48 | 48 | $0.00 | |
| 91307 | 33 | 33 | $0.00 | |
| 1111F | 425 | 404 | $0.00 | |
| D2392 | 61 | 50 | $0.00 | |
| 90656 | 38 | 38 | $0.00 | |
| D0272 | 26 | 26 | $0.00 | |
| 3075F | 17 | 17 | $0.00 | |
| D1110 | 537 | 526 | $0.00 | |
| 1159F | 1,515 | 1,408 | $0.00 | |
| 3078F | 1,867 | 1,748 | $0.00 | |
| 90672 | 39 | 39 | $0.00 | |
| D1120 | 187 | 181 | $0.00 | |
| 99212 | 13 | 13 | $0.00 | |
| G8752 | Sys bp less 140 | 901 | 851 | $0.00 |
| D0274 | 348 | 347 | $0.00 | |
| D0330 | 101 | 101 | $0.00 | |
| 91322 | 17 | 17 | $0.00 | |
| 4004F | 196 | 176 | $0.00 | |
| D2391 | 89 | 51 | $0.00 | |
| 99211 | 18 | 17 | $0.00 | |
| G8753 | Sys bp > or = 140 | 17 | 15 | $0.00 |
| D0220 | 104 | 104 | $0.00 | |
| 91300 | 79 | 73 | $0.00 | |
| 3077F | 17 | 15 | $0.00 | |
| 86703 | 30 | 30 | $0.00 | |
| 99394 | 13 | 13 | $0.00 | |
| 99393 | 15 | 15 | $0.00 | |
| D1208 | 614 | 597 | $-337.59 |