NPI: 1598048969 · POCATELLO, ID 83201 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,960 | $177K |
| 2019 | 20,947 | $438K |
| 2020 | 11,390 | $188K |
| 2021 | 18,676 | $373K |
| 2022 | 16,937 | $337K |
| 2023 | 13,755 | $269K |
| 2024 | 10,231 | $193K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 10,566 | 10,554 | $803K | |
| D1110 | 3,432 | 3,431 | $358K | |
| D2392 | 2,517 | 1,798 | $239K | |
| D2391 | 3,393 | 2,137 | $171K | |
| D2930 | 1,325 | 452 | $138K | |
| D7140 | 1,589 | 868 | $79K | |
| D0330 | 1,188 | 1,188 | $58K | |
| D1351 | 12,077 | 3,476 | $29K | |
| D0210 | 238 | 238 | $28K | |
| D0140 | 1,096 | 1,077 | $27K | |
| D0150 | 903 | 901 | $26K | |
| D1354 | 926 | 439 | $4K | |
| D0170 | 93 | 88 | $3K | |
| D0274 | 3,438 | 3,433 | $3K | |
| D0120 | 12,963 | 12,953 | $2K | |
| D9230 | 5,051 | 4,710 | $1K | |
| D2330 | 35 | 26 | $1K | |
| D0272 | 9,130 | 9,123 | $820.63 | |
| D1206 | 4,845 | 4,843 | $481.03 | |
| D9420 | 43 | 42 | $475.17 | |
| D0220 | 8,080 | 7,897 | $322.73 | |
| D7111 | 23 | 13 | $310.47 | |
| D0230 | 8,892 | 5,649 | $0.00 | |
| D1208 | 8,053 | 8,045 | $-210.41 |