NPI: 1700855830 · BOZEMAN, MT 59715 · 261QF0050X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 884 | $16K |
| 2019 | 624 | $9K |
| 2020 | 451 | $4K |
| 2021 | 630 | $7K |
| 2022 | 285 | $6K |
| 2023 | 142 | $12K |
| 2024 | 63 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 511 | 486 | $39K | |
| S4993 | Contraceptive pills for bc | 197 | 189 | $3K |
| 99212 | 54 | 54 | $3K | |
| 87491 | 1,270 | 1,186 | $3K | |
| 87591 | 903 | 846 | $2K | |
| 0353U | 29 | 27 | $2K | |
| 99214 | 20 | 19 | $2K | |
| J1050 | Medroxyprogesterone acetate | 15 | 15 | $630.72 |
| 96372 | 30 | 28 | $614.28 | |
| 90471 | 14 | 12 | $255.84 | |
| 87806 | 12 | 12 | $240.00 | |
| 86780 | 12 | 12 | $145.64 | |
| 86701 | 12 | 12 | $0.00 |