NPI: 1730135310 · JEROME, ID 83338 · 101Y00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,578 | $972K |
| 2019 | 8,273 | $934K |
| 2020 | 9,752 | $992K |
| 2021 | 9,299 | $858K |
| 2022 | 9,200 | $910K |
| 2023 | 12,909 | $948K |
| 2024 | 10,248 | $764K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 19,858 | 17,854 | $4.38M |
| D0999 | 7,373 | 6,835 | $1.92M | |
| 90471 | 5,910 | 5,806 | $37K | |
| 90472 | 1,606 | 1,579 | $13K | |
| 99213 | 9,788 | 9,059 | $8K | |
| 0002A | 161 | 160 | $4K | |
| 0001A | 138 | 136 | $3K | |
| 99214 | 401 | 362 | $2K | |
| 0071A | 46 | 46 | $1K | |
| 0012A | 39 | 39 | $1K | |
| 0072A | 41 | 41 | $1K | |
| 90686 | 2,340 | 2,319 | $1K | |
| 0011A | 31 | 31 | $980.00 | |
| 90473 | 103 | 102 | $906.63 | |
| 36415 | 265 | 259 | $317.90 | |
| 87426 | 14 | 14 | $216.60 | |
| 2001F | 3,015 | 2,782 | $101.73 | |
| 99392 | 104 | 103 | $76.08 | |
| 90656 | 39 | 39 | $71.16 | |
| 90672 | 247 | 245 | $53.91 | |
| 90474 | 25 | 25 | $36.24 | |
| 90670 | 152 | 152 | $21.27 | |
| 99212 | 193 | 166 | $17.99 | |
| 90674 | 50 | 50 | $16.84 | |
| 99393 | 74 | 74 | $0.00 | |
| G8752 | Sys bp less 140 | 806 | 746 | $0.00 |
| D1110 | 1,789 | 1,787 | $0.00 | |
| D1120 | 62 | 62 | $0.00 | |
| 3078F | 2,409 | 2,257 | $0.00 | |
| 91300 | 406 | 377 | $0.00 | |
| 99211 | 273 | 265 | $0.00 | |
| D0274 | 905 | 904 | $0.00 | |
| 1159F | 1,553 | 1,402 | $0.00 | |
| 99391 | 402 | 379 | $0.00 | |
| D0330 | 159 | 159 | $0.00 | |
| 99394 | 125 | 121 | $0.00 | |
| 90734 | 33 | 33 | $0.00 | |
| D0220 | 228 | 228 | $0.00 | |
| 90715 | 15 | 15 | $0.00 | |
| 90687 | 145 | 138 | $0.00 | |
| D2391 | 25 | 13 | $0.00 | |
| 90621 | 13 | 13 | $0.00 | |
| 90633 | 14 | 13 | $0.00 | |
| 3074F | 2,476 | 2,305 | $0.00 | |
| G8754 | Dias bp less 90 | 891 | 818 | $0.00 |
| 1111F | 494 | 466 | $0.00 | |
| D0120 | 1,343 | 1,340 | $0.00 | |
| D0150 | 214 | 214 | $0.00 | |
| 90723 | 49 | 49 | $0.00 | |
| D1206 | 732 | 730 | $0.00 | |
| 85018 | 211 | 208 | $0.00 | |
| 91301 | 98 | 95 | $0.00 | |
| D1208 | 684 | 681 | $0.00 | |
| D0230 | 110 | 55 | $0.00 | |
| 91305 | 48 | 47 | $0.00 | |
| D0140 | 154 | 152 | $0.00 | |
| 90660 | 16 | 16 | $0.00 | |
| 90688 | 49 | 43 | $0.00 | |
| 90697 | 13 | 13 | $0.00 | |
| 90651 | 36 | 33 | $0.00 | |
| D9920 | 15 | 14 | $0.00 | |
| 99429 | 43 | 43 | $0.00 | |
| D2392 | 51 | 37 | $0.00 | |
| 91307 | 131 | 126 | $0.00 | |
| 90680 | 13 | 13 | $0.00 | |
| 90647 | 13 | 13 | $0.00 |