NPI: 1598748337 · CALDWELL, ID 83607 · 101YM0800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,376 | $110K |
| 2019 | 6,040 | $94K |
| 2020 | 1,794 | $28K |
| 2021 | 2,413 | $134K |
| 2022 | 1,025 | $116K |
| 2023 | 1,296 | $142K |
| 2024 | 1,631 | $185K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1017 | Targeted case management | 2,041 | 1,375 | $509K |
| 90460 | 3,820 | 2,612 | $121K | |
| 90461 | 1,446 | 1,304 | $58K | |
| D0191 | 2,931 | 2,922 | $42K | |
| S9470 | Nutritional counseling, diet | 964 | 950 | $24K |
| 90471 | 873 | 864 | $13K | |
| D1351 | 476 | 147 | $9K | |
| 90472 | 455 | 451 | $8K | |
| 0002A | 191 | 191 | $7K | |
| 0001A | 229 | 228 | $7K | |
| 91320 | 34 | 34 | $3K | |
| 90651 | 341 | 322 | $2K | |
| 90480 | 37 | 35 | $920.00 | |
| J1050 | Medroxyprogesterone acetate | 12 | 12 | $720.00 |
| 90715 | 662 | 439 | $592.58 | |
| 0004A | 26 | 23 | $520.00 | |
| 96372 | 28 | 25 | $444.48 | |
| 90674 | 343 | 330 | $406.32 | |
| 99001 | 67 | 40 | $405.92 | |
| 90694 | 17 | 13 | $358.68 | |
| 99211 | 16 | 16 | $342.08 | |
| 0012A | 13 | 13 | $340.68 | |
| 90686 | 318 | 313 | $336.89 | |
| 90734 | 466 | 445 | $328.38 | |
| 0011A | 13 | 13 | $169.40 | |
| 90716 | 29 | 28 | $160.26 | |
| 90707 | 34 | 18 | $140.38 | |
| 86580 | 17 | 17 | $136.51 | |
| 90649 | 34 | 34 | $131.73 | |
| 90619 | 159 | 158 | $114.72 | |
| 90633 | 321 | 312 | $35.86 | |
| 90710 | 230 | 145 | $28.49 | |
| 90723 | 46 | 29 | $28.49 | |
| 90672 | 44 | 44 | $10.65 | |
| 90670 | 261 | 257 | $10.55 | |
| 90660 | 14 | 14 | $1.00 | |
| 91300 | 308 | 286 | $0.00 | |
| 90685 | 19 | 17 | $0.00 | |
| 91307 | 14 | 14 | $0.00 | |
| 90698 | 122 | 71 | $0.00 | |
| 90696 | 172 | 102 | $0.00 | |
| 90688 | 14 | 14 | $0.00 | |
| 90680 | 14 | 14 | $0.00 | |
| D1206 | 2,904 | 2,895 | $-85.41 |