NPI: 1679134126 · GARDEN CITY, ID 83714 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 6,389 | $257K |
| 2021 | 19,062 | $890K |
| 2022 | 3,824 | $142K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | 3,122 | 3,098 | $357K | |
| 87635 | 7,006 | 6,740 | $303K | |
| 87502 | 2,467 | 2,351 | $223K | |
| 99203 | 1,604 | 1,596 | $125K | |
| 87651 | 2,457 | 2,342 | $91K | |
| 99214 | 836 | 792 | $73K | |
| 87804 | 4,555 | 2,286 | $65K | |
| 87880 | 1,894 | 1,856 | $27K | |
| 99213 | 278 | 256 | $16K | |
| 87811 | 65 | 65 | $2K | |
| 87426 | 46 | 45 | $2K | |
| 36415 | 520 | 508 | $1K | |
| G2023 | Specimen collect covid-19 | 43 | 42 | $701.57 |
| 0071A | 14 | 13 | $560.00 | |
| 99211 | 26 | 26 | $459.42 | |
| 99072 | 1,167 | 1,128 | $9.50 | |
| 99000 | 2,864 | 2,759 | $0.00 | |
| 91307 | 28 | 27 | $0.00 | |
| 99051 | 257 | 249 | $0.00 | |
| 91300 | 26 | 26 | $0.00 |