NPI: 1790291276 · IDAHO FALLS, ID 83404 · 363LP0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 178 | $5K |
| 2019 | 1,482 | $65K |
| 2020 | 2,245 | $103K |
| 2021 | 3,657 | $151K |
| 2022 | 3,400 | $150K |
| 2023 | 1,641 | $93K |
| 2024 | 1,193 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,774 | 3,237 | $315K | |
| 99213 | 1,892 | 1,731 | $110K | |
| 90460 | 1,692 | 1,659 | $56K | |
| 87426 | 806 | 740 | $30K | |
| 99392 | 345 | 344 | $29K | |
| 90461 | 496 | 495 | $23K | |
| 87804 | 1,543 | 726 | $21K | |
| 87880 | 836 | 801 | $11K | |
| 99393 | 131 | 131 | $11K | |
| 99391 | 86 | 79 | $6K | |
| U0002 | Covid-19 lab test non-cdc | 124 | 112 | $6K |
| 82735 | 109 | 109 | $2K | |
| 87807 | 124 | 118 | $1K | |
| 99188 | 109 | 109 | $1K | |
| 99203 | 13 | 13 | $1K | |
| 99394 | 14 | 14 | $1K | |
| 85018 | 290 | 287 | $667.05 | |
| 0001A | 16 | 16 | $640.00 | |
| 81003 | 275 | 268 | $527.20 | |
| 0002A | 13 | 13 | $520.00 | |
| 90471 | 26 | 26 | $501.54 | |
| 90756 | 14 | 14 | $287.14 | |
| 85014 | 114 | 112 | $269.27 | |
| 90674 | 12 | 12 | $259.80 | |
| 96372 | 19 | 12 | $250.91 | |
| 90661 | 32 | 32 | $100.30 | |
| 96127 | 30 | 30 | $94.24 | |
| 90686 | 565 | 551 | $73.46 | |
| 91300 | 48 | 47 | $0.00 | |
| 90672 | 35 | 35 | $0.00 | |
| 90670 | 75 | 75 | $0.00 | |
| 90633 | 25 | 25 | $0.00 | |
| 99024 | 75 | 74 | $0.00 | |
| 90698 | 38 | 38 | $0.00 |