NPI: 1558441139 · FORT HALL, ID 83203 · 261QH0100X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,089 | $584K |
| 2019 | 1,236 | $300K |
| 2020 | 1,629 | $411K |
| 2021 | 1,613 | $413K |
| 2022 | 3,092 | $999K |
| 2023 | 1,937 | $819K |
| 2024 | 1,878 | $996K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 7,786 | 7,139 | $4.33M |
| D0999 | 469 | 424 | $191K | |
| 99213 | 2,173 | 2,084 | $200.98 | |
| 92014 | 657 | 655 | $122.41 | |
| 87635 | 389 | 369 | $1.02 | |
| D0140 | 351 | 334 | $0.66 | |
| 99211 | 743 | 701 | $0.00 | |
| D0330 | 42 | 42 | $0.00 | |
| 92015 | 305 | 304 | $0.00 | |
| 99212 | 110 | 106 | $0.00 | |
| D0220 | 138 | 133 | $0.00 | |
| 87811 | 140 | 132 | $0.00 | |
| D9999 | 111 | 79 | $0.00 | |
| 99214 | 204 | 200 | $0.00 | |
| 36415 | 263 | 251 | $0.00 | |
| 90471 | 167 | 163 | $0.00 | |
| 92004 | 80 | 79 | $0.00 | |
| 80053 | 66 | 65 | $0.00 | |
| 85025 | 27 | 27 | $0.00 | |
| 87637 | 60 | 59 | $0.00 | |
| 90688 | 47 | 47 | $0.00 | |
| D1206 | 95 | 95 | $0.00 | |
| 83036 | 39 | 39 | $0.00 | |
| 90686 | 12 | 12 | $0.00 |