NPI: 1689218018 · POCATELLO, ID 83201 · 101YA0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 8,686 | $275K |
| 2023 | 6,285 | $362K |
| 2024 | 2,431 | $154K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0005 | Alcohol and/or drug services | 10,182 | 2,121 | $502K |
| H0004 | Alcohol and/or drug services | 3,404 | 1,538 | $208K |
| T1014 | Telehealth transmit, per min | 3,654 | 692 | $65K |
| 90791 | 66 | 65 | $7K | |
| T1017 | Targeted case management | 84 | 44 | $5K |
| H0001 | Alcohol and/or drug assess | 12 | 12 | $4K |