NPI: 1558633628 · BLACKFOOT, ID 83221 · 213ES0103X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 661 | $9K |
| 2019 | 512 | $9K |
| 2020 | 305 | $12K |
| 2021 | 375 | $17K |
| 2022 | 271 | $13K |
| 2023 | 276 | $16K |
| 2024 | 143 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,773 | 1,522 | $80K | |
| 11721 | 381 | 319 | $2K | |
| 99203 | 14 | 13 | $1K | |
| 99202 | 12 | 12 | $513.58 | |
| G8484 | Flu immunize no admin | 23 | 17 | $2.72 |
| 3046F | 18 | 13 | $2.72 | |
| 4040F | 42 | 30 | $2.72 | |
| 1123F | 42 | 30 | $2.72 | |
| G8419 | Calc bmi out nrm param nof/u | 18 | 13 | $2.71 |
| G8427 | Docrev cur meds by elig clin | 42 | 30 | $0.00 |
| 0518F | 42 | 30 | $0.00 | |
| 3288F | 20 | 13 | $0.00 | |
| 1100F | 19 | 13 | $0.00 | |
| 1036F | 38 | 26 | $0.00 | |
| G8732 | No doc of pain | 40 | 29 | $0.00 |
| 1101F | 19 | 14 | $0.00 |