NPI: 1770538811 · NAMPA, ID 83686 · 163W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,409 | $132K |
| 2019 | 2,539 | $108K |
| 2020 | 1,699 | $88K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,546 | 3,259 | $245K | |
| 99213 | 592 | 544 | $26K | |
| T1017 | Targeted case management | 574 | 376 | $18K |
| 96372 | 762 | 680 | $10K | |
| 90834 | 197 | 127 | $10K | |
| H0046 | Mental health service, nos | 137 | 58 | $10K |
| H0038 | Self-help/peer svc per 15min | 26 | 12 | $3K |
| 90832 | 71 | 48 | $2K | |
| 99212 | 88 | 71 | $1K | |
| 99215 | Prolong outpt/office vis | 13 | 12 | $714.73 |
| T1014 | Telehealth transmit, per min | 52 | 34 | $640.00 |
| T1016 | Case management | 20 | 12 | $616.59 |
| 90853 | 20 | 13 | $543.74 | |
| Q3014 | Telehealth facility fee | 24 | 14 | $200.00 |
| H0032 | Mh svc plan dev by non-md | 12 | 12 | $136.20 |
| G8427 | Docrev cur meds by elig clin | 446 | 318 | $34.18 |
| 96127 | 24 | 22 | $2.61 | |
| 90791 | 43 | 43 | $-1550.94 |