NPI: 1649530957 · IDAHO FALLS, ID 83404 · 251B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 508 | $24K |
| 2024 | 3,850 | $212K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0005 | Alcohol and/or drug services | 1,245 | 130 | $91K |
| H0038 | Self-help/peer svc per 15min | 1,050 | 190 | $85K |
| Q3014 | Telehealth facility fee | 1,142 | 142 | $20K |
| H0004 | Alcohol and/or drug services | 199 | 57 | $15K |
| T1017 | Targeted case management | 132 | 44 | $13K |
| 80306 | 506 | 143 | $8K | |
| H2014 | Skills train and dev, 15 min | 61 | 31 | $1K |
| 90791 | 23 | 12 | $727.07 |