NPI: 1609181940 · BOISE, ID 83716 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 69 | $2K |
| 2021 | 1,050 | $39K |
| 2022 | 1,253 | $42K |
| 2023 | 1,709 | $74K |
| 2024 | 2,277 | $95K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2393 | 451 | 352 | $47K | |
| D2394 | 436 | 300 | $46K | |
| D1110 | 746 | 726 | $33K | |
| D4341 | 722 | 221 | $24K | |
| D0120 | 751 | 734 | $22K | |
| D1206 | 834 | 815 | $18K | |
| D2392 | 214 | 173 | $16K | |
| D0150 | 352 | 340 | $14K | |
| D0210 | 256 | 245 | $11K | |
| D0220 | 694 | 639 | $7K | |
| D2391 | 66 | 42 | $4K | |
| D0274 | 252 | 244 | $3K | |
| D9230 | 53 | 52 | $2K | |
| D4910 | 39 | 38 | $2K | |
| D0230 | 429 | 389 | $1K | |
| D1208 | 51 | 49 | $842.88 | |
| D1120 | 12 | 12 | $275.76 |