NPI: 1538634522 · MOSCOW, ID 83843 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 227 | $10K |
| 2019 | 2,620 | $125K |
| 2020 | 2,979 | $159K |
| 2021 | 3,247 | $173K |
| 2022 | 4,750 | $298K |
| 2023 | 5,433 | $377K |
| 2024 | 3,310 | $269K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 4,652 | 4,516 | $650K |
| 99213 | 10,436 | 10,011 | $410K | |
| 99214 | 3,682 | 3,450 | $191K | |
| 99392 | 605 | 594 | $58K | |
| 99391 | 445 | 424 | $37K | |
| 90460 | 623 | 604 | $21K | |
| 90471 | 462 | 455 | $9K | |
| 99393 | 85 | 84 | $8K | |
| 90472 | 348 | 323 | $8K | |
| 99203 | 219 | 214 | $7K | |
| 90461 | 218 | 213 | $6K | |
| 99442 | 38 | 36 | $2K | |
| 99441 | 38 | 38 | $1K | |
| 90686 | 381 | 373 | $900.78 | |
| 99212 | 12 | 12 | $520.20 | |
| 87880 | 51 | 50 | $261.96 | |
| 0071A | 12 | 12 | $261.43 | |
| 87804 | 80 | 40 | $221.96 | |
| 96127 | 15 | 12 | $118.72 | |
| 90670 | 124 | 120 | $0.00 | |
| 90707 | 15 | 15 | $0.00 | |
| 90698 | 13 | 12 | $0.00 | |
| 91307 | 12 | 12 | $0.00 |