NPI: 1700898822 · POCATELLO, ID 83201 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 38,004 | $1.57M |
| 2019 | 41,249 | $1.71M |
| 2020 | 36,380 | $1.49M |
| 2021 | 34,465 | $1.63M |
| 2022 | 36,160 | $1.75M |
| 2023 | 27,739 | $1.47M |
| 2024 | 23,669 | $1.34M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 55,756 | 53,777 | $3.72M | |
| 99392 | 15,263 | 15,194 | $1.40M | |
| 90460 | 34,165 | 33,993 | $1.37M | |
| 99391 | 16,173 | 15,693 | $1.35M | |
| 99214 | 9,192 | 8,945 | $880K | |
| 99393 | 9,723 | 9,699 | $854K | |
| 90461 | 19,662 | 19,560 | $738K | |
| 99212 | 4,963 | 4,784 | $184K | |
| 99394 | 1,666 | 1,662 | $159K | |
| 87636 | 847 | 840 | $93K | |
| 90471 | 4,217 | 4,202 | $69K | |
| 99188 | 3,419 | 3,405 | $44K | |
| 36416 | 8,601 | 8,111 | $23K | |
| 90473 | 1,352 | 1,351 | $20K | |
| 99238 | 280 | 278 | $17K | |
| 83655 | 827 | 815 | $10K | |
| 99177 | 3,174 | 3,166 | $7K | |
| 0071A | 147 | 147 | $5K | |
| 87880 | 348 | 341 | $5K | |
| 87651 | 129 | 129 | $4K | |
| 96127 | 1,017 | 1,014 | $4K | |
| 0072A | 85 | 85 | $3K | |
| 99460 | 27 | 26 | $2K | |
| 90472 | 119 | 117 | $2K | |
| 87502 | 16 | 16 | $1K | |
| 96372 | 82 | 82 | $948.00 | |
| 0001A | 17 | 17 | $600.00 | |
| 36415 | 239 | 232 | $592.10 | |
| 87081 | 70 | 70 | $456.56 | |
| 96380 | 25 | 25 | $449.04 | |
| 0002A | 12 | 12 | $400.00 | |
| 96110 | 61 | 54 | $374.06 | |
| 81001 | 87 | 84 | $263.97 | |
| 92552 | 14 | 14 | $240.00 | |
| 90686 | 9,904 | 9,847 | $207.43 | |
| 87420 | 18 | 18 | $200.32 | |
| 90674 | 2,601 | 2,598 | $109.47 | |
| 90670 | 8,482 | 8,446 | $81.79 | |
| 85018 | 26 | 26 | $63.36 | |
| 90648 | 6,297 | 6,265 | $61.71 | |
| 90672 | 4,901 | 4,895 | $42.31 | |
| 90723 | 3,700 | 3,682 | $37.74 | |
| 90633 | 1,730 | 1,720 | $34.93 | |
| 90651 | 381 | 381 | $28.88 | |
| 90661 | 569 | 569 | $25.20 | |
| 90697 | 1,915 | 1,911 | $15.82 | |
| 90688 | 1,051 | 1,049 | $9.60 | |
| 90677 | 698 | 696 | $6.64 | |
| 90660 | 593 | 592 | $5.12 | |
| 90671 | 513 | 513 | $4.43 | |
| 84030 | 25 | 25 | $3.22 | |
| 90734 | 231 | 231 | $1.91 | |
| 90710 | 168 | 166 | $1.44 | |
| 90681 | 959 | 953 | $1.18 | |
| 90715 | 98 | 98 | $0.80 | |
| 90619 | 71 | 71 | $0.54 | |
| 90700 | 39 | 39 | $0.36 | |
| 90716 | 26 | 26 | $0.22 | |
| 90707 | 26 | 26 | $0.18 | |
| 90685 | 13 | 13 | $0.13 | |
| 91300 | 226 | 222 | $0.00 | |
| 90380 | 14 | 14 | $0.00 | |
| 90696 | 141 | 140 | $0.00 | |
| 91307 | 422 | 418 | $0.00 | |
| J8540 | Oral dexamethasone | 53 | 52 | $0.00 |