NPI: 1790795888 · LAPWAI, ID 83540 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,926 | $665K |
| 2019 | 2,739 | $695K |
| 2020 | 2,742 | $825K |
| 2021 | 3,478 | $735K |
| 2022 | 5,655 | $1.96M |
| 2023 | 6,911 | $2.26M |
| 2024 | 3,928 | $1.31M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 13,038 | 10,906 | $6.63M |
| D0999 | 4,027 | 3,566 | $1.74M | |
| 99213 | 3,874 | 3,517 | $68K | |
| 99214 | 2,328 | 2,116 | $8K | |
| 99212 | 30 | 29 | $2K | |
| D0140 | 344 | 315 | $653.73 | |
| 36415 | 59 | 55 | $576.24 | |
| 87635 | 35 | 34 | $359.05 | |
| D0220 | 494 | 470 | $321.48 | |
| D1110 | 40 | 40 | $213.76 | |
| 92015 | 585 | 582 | $201.87 | |
| 80053 | 40 | 38 | $152.35 | |
| U0002 | Covid-19 lab test non-cdc | 59 | 59 | $107.79 |
| D0330 | 45 | 42 | $99.36 | |
| 92004 | 57 | 57 | $88.48 | |
| D0274 | 53 | 50 | $86.49 | |
| 0013A | 30 | 30 | $80.02 | |
| D0120 | 37 | 37 | $40.48 | |
| 0001A | 14 | 14 | $40.00 | |
| D0230 | 269 | 91 | $24.84 | |
| D1999 | 321 | 311 | $0.00 | |
| 91300 | 59 | 46 | $0.00 | |
| 90837 | 457 | 271 | $0.00 | |
| D0190 | 79 | 64 | $0.00 | |
| 90832 | 70 | 51 | $0.00 | |
| 92014 | 12 | 12 | $0.00 | |
| 90834 | 237 | 174 | $0.00 | |
| 91301 | 259 | 252 | $0.00 | |
| D9999 | 339 | 184 | $0.00 | |
| D1330 | 219 | 211 | $0.00 | |
| 0011A | 76 | 76 | $0.00 | |
| D8670 | 40 | 40 | $0.00 | |
| D1310 | 15 | 12 | $0.00 | |
| 85025 | 26 | 25 | $0.00 | |
| 0012A | 59 | 59 | $0.00 | |
| 91307 | 12 | 12 | $0.00 | |
| D1208 | 15 | 15 | $0.00 | |
| D1206 | 626 | 603 | $-3135.13 |