NPI: 1689068413 · COEUR D ALENE, ID 83814 · 101Y00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 210 | $16K |
| 2019 | 588 | $46K |
| 2020 | 440 | $60K |
| 2021 | 696 | $71K |
| 2022 | 2,709 | $287K |
| 2023 | 2,933 | $212K |
| 2024 | 1,401 | $99K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 3,081 | 2,487 | $778K |
| 99214 | 1,145 | 998 | $8K | |
| 99212 | 384 | 263 | $2K | |
| 99213 | 825 | 741 | $1K | |
| G0467 | Fqhc visit, estab pt | 47 | 40 | $1K |
| 80305 | 170 | 149 | $229.49 | |
| 96372 | 13 | 13 | $20.12 | |
| 90471 | 21 | 21 | $19.29 | |
| 96127 | 119 | 87 | $10.68 | |
| 3078F | 786 | 691 | $0.00 | |
| 3077F | 213 | 193 | $0.00 | |
| 3080F | 282 | 255 | $0.00 | |
| 3079F | 322 | 298 | $0.00 | |
| 3074F | 1,044 | 906 | $0.00 | |
| 1126F | 120 | 105 | $0.00 | |
| 1034F | 73 | 61 | $0.00 | |
| 1035F | 15 | 12 | $0.00 | |
| 3075F | 97 | 93 | $0.00 | |
| 90686 | 15 | 14 | $0.00 | |
| 1036F | 38 | 31 | $0.00 | |
| 3008F | 155 | 133 | $0.00 | |
| 36416 | 12 | 12 | $0.00 |