NPI: 1649607250 · CHUBBUCK, ID 83202 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,208 | $266K |
| 2019 | 2,339 | $195K |
| 2020 | 1,395 | $131K |
| 2022 | 769 | $40K |
| 2023 | 976 | $69K |
| 2024 | 353 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | 4,172 | 1,651 | $248K | |
| H0038 | Self-help/peer svc per 15min | 1,757 | 464 | $151K |
| 96133 | 223 | 203 | $63K | |
| 96119 | 249 | 157 | $56K | |
| 96118 | 174 | 160 | $55K | |
| 96132 | 407 | 350 | $42K | |
| 96137 | 169 | 166 | $36K | |
| 90791 | 249 | 246 | $25K | |
| H0032 | Mh svc plan dev by non-md | 352 | 348 | $23K |
| 90837 | 188 | 81 | $16K | |
| 96136 | 155 | 154 | $6K | |
| 90785 | 814 | 328 | $3K | |
| T1017 | Targeted case management | 36 | 13 | $2K |
| T1014 | Telehealth transmit, per min | 83 | 52 | $1K |
| 90846 | 12 | 12 | $1K |