NPI: 1730129305 · BIG SANDY, MT 59520 · 282NC0060X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 226 | $2K |
| 2019 | 344 | $2K |
| 2020 | 206 | $584.95 |
| 2021 | 289 | $42.56 |
| 2022 | 350 | $509.66 |
| 2023 | 417 | $1K |
| 2024 | 468 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0241U | 129 | 122 | $2K | |
| 87804 | 110 | 87 | $1K | |
| 36415 | 1,043 | 848 | $949.44 | |
| 80053 | 363 | 314 | $929.94 | |
| 87880 | 109 | 86 | $797.15 | |
| 99283 | 16 | 15 | $677.20 | |
| 87651 | 59 | 56 | $391.50 | |
| 85025 | 301 | 261 | $338.24 | |
| 85027 | 78 | 70 | $241.92 | |
| 84443 | 27 | 24 | $106.20 | |
| 87635 | 25 | 15 | $102.62 | |
| 90674 | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 15 | 15 | $0.00 |
| 99213 | 13 | 12 | $0.00 |