NPI: 1629499751 · CHUBBUCK, ID 83202 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,519 | $201K |
| 2019 | 3,872 | $141K |
| 2020 | 7,169 | $99K |
| 2021 | 8,962 | $693K |
| 2022 | 8,226 | $524K |
| 2023 | 4,515 | $454K |
| 2024 | 6,624 | $614K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 20,631 | 16,975 | $2.66M |
| 99214 | 2,846 | 2,718 | $26K | |
| 99213 | 9,472 | 9,102 | $25K | |
| G0467 | Fqhc visit, estab pt | 31 | 25 | $3K |
| 36415 | 1,305 | 1,245 | $2K | |
| 87426 | 482 | 473 | $2K | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 120 | 101 | $2K |
| 99212 | 249 | 248 | $377.77 | |
| 87880 | 98 | 95 | $331.81 | |
| 90471 | 57 | 57 | $169.26 | |
| 81003 | 396 | 387 | $132.37 | |
| 87804 | 52 | 39 | $103.99 | |
| 90686 | 44 | 44 | $62.25 | |
| 99203 | 14 | 14 | $38.27 | |
| 1160F | 3,653 | 3,503 | $17.02 | |
| 1036F | 1,804 | 1,727 | $17.01 | |
| 96127 | 232 | 185 | $0.84 | |
| 3008F | 200 | 198 | $0.00 | |
| 1125F | 17 | 17 | $0.00 | |
| 3074F | 521 | 489 | $0.00 | |
| 3079F | 189 | 178 | $0.00 | |
| 87636 | 44 | 44 | $0.00 | |
| 91301 | 45 | 45 | $0.00 | |
| 3075F | 15 | 15 | $0.00 | |
| 1034F | 15 | 15 | $0.00 | |
| 90674 | 20 | 20 | $0.00 | |
| 3078F | 226 | 208 | $0.00 | |
| 3725F | 989 | 956 | $0.00 | |
| 4004F | 79 | 74 | $0.00 | |
| 81025 | 41 | 40 | $0.00 |