NPI: 1770785875 · BLACKFOOT, ID 83221 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,316 | $496K |
| 2019 | 13,718 | $691K |
| 2020 | 15,748 | $868K |
| 2021 | 17,047 | $953K |
| 2022 | 18,514 | $1.08M |
| 2023 | 14,635 | $908K |
| 2024 | 10,937 | $789K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 55,961 | 49,859 | $5.77M |
| 99213 | 12,616 | 10,850 | $6K | |
| 99214 | 15,449 | 14,000 | $4K | |
| 99215 | Prolong outpt/office vis | 1,006 | 978 | $3K |
| 99205 | Prolong outpt/office vis | 343 | 337 | $978.27 |
| 36415 | 849 | 833 | $938.23 | |
| 99212 | 246 | 230 | $471.51 | |
| 99202 | 121 | 119 | $335.12 | |
| 99203 | 228 | 226 | $182.44 | |
| 99204 | 193 | 191 | $146.89 | |
| 36416 | 408 | 405 | $132.90 | |
| 99392 | 1,805 | 1,796 | $68.96 | |
| 81025 | 185 | 184 | $49.23 | |
| 90460 | 2,683 | 2,647 | $45.77 | |
| 83655 | 290 | 290 | $44.31 | |
| Q3014 | Telehealth facility fee | 92 | 72 | $42.64 |
| 90461 | 2,030 | 2,020 | $20.95 | |
| 99393 | 494 | 491 | $9.46 | |
| 90670 | 987 | 983 | $0.00 | |
| 90472 | 161 | 157 | $0.00 | |
| 99391 | 2,008 | 1,800 | $0.00 | |
| 83037 | 55 | 55 | $0.00 | |
| 99394 | 64 | 64 | $0.00 | |
| 90633 | 141 | 141 | $0.00 | |
| 90681 | 39 | 39 | $0.00 | |
| 87502 | 36 | 25 | $0.00 | |
| 90698 | 610 | 608 | $0.00 | |
| 96127 | 1,021 | 978 | $0.00 | |
| 90697 | 329 | 328 | $0.00 | |
| 90686 | 13 | 13 | $0.00 | |
| 96372 | 25 | 24 | $0.00 | |
| 76817 | 28 | 27 | $0.00 | |
| 90471 | 103 | 101 | $0.00 | |
| 99000 | 102 | 96 | $0.00 | |
| 90680 | 67 | 67 | $0.00 | |
| 90744 | 62 | 62 | $0.00 | |
| 90677 | 31 | 31 | $0.00 | |
| 99417 | Prolong home eval add 15m | 34 | 31 | $0.00 |