NPI: 1790931517 · MISSOULA, MT 59808 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,532 | $752K |
| 2019 | 13,050 | $728K |
| 2020 | 8,914 | $535K |
| 2021 | 10,439 | $820K |
| 2022 | 10,231 | $850K |
| 2023 | 8,680 | $703K |
| 2024 | 5,776 | $545K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 27,443 | 25,387 | $2.15M | |
| 99214 | 14,486 | 13,355 | $1.48M | |
| 99203 | 4,420 | 4,184 | $471K | |
| 90460 | 2,844 | 2,566 | $123K | |
| 99392 | 950 | 908 | $112K | |
| 87635 | 2,407 | 2,324 | $109K | |
| 99393 | 656 | 641 | $80K | |
| 99391 | 564 | 535 | $60K | |
| 87651 | 1,580 | 1,288 | $46K | |
| 99204 | 293 | 269 | $44K | |
| 90471 | 2,017 | 1,960 | $40K | |
| 96110 | 3,229 | 2,630 | $38K | |
| 87502 | 663 | 440 | $37K | |
| 90834 | 659 | 399 | $37K | |
| 99215 | Prolong outpt/office vis | 144 | 133 | $21K |
| 71046 | 842 | 793 | $17K | |
| 90686 | 2,267 | 2,220 | $9K | |
| 87426 | 172 | 170 | $8K | |
| 99394 | 128 | 118 | $7K | |
| 90791 | 71 | 66 | $6K | |
| 99205 | Prolong outpt/office vis | 32 | 26 | $6K |
| 99212 | 134 | 119 | $5K | |
| 99173 | 1,386 | 1,348 | $5K | |
| 99202 | 80 | 64 | $5K | |
| 99384 | 20 | 18 | $3K | |
| 90832 | 61 | 50 | $3K | |
| 99385 | 21 | 13 | $2K | |
| 99443 | 44 | 25 | $2K | |
| 90837 | 12 | 12 | $1K | |
| 91320 | 14 | 14 | $1K | |
| 0124A | 38 | 37 | $1K | |
| 96161 | 225 | 196 | $814.90 | |
| 90461 | 1,039 | 1,000 | $607.81 | |
| 92552 | 18 | 16 | $551.36 | |
| 81002 | 155 | 151 | $431.51 | |
| 81003 | 250 | 231 | $419.24 | |
| 90682 | 15 | 14 | $365.88 | |
| 90480 | 16 | 16 | $360.00 | |
| 90670 | 353 | 336 | $353.46 | |
| 96372 | 19 | 15 | $338.16 | |
| 90472 | 13 | 13 | $333.54 | |
| 90656 | 90 | 90 | $177.56 | |
| 96160 | 48 | 48 | $127.38 | |
| 96127 | 13 | 12 | $103.90 | |
| 90647 | 152 | 141 | $25.06 | |
| 90685 | 157 | 152 | $18.37 | |
| 90723 | 84 | 81 | $0.00 | |
| 90680 | 44 | 41 | $0.00 | |
| G0008 | Admin influenza virus vac | 12 | 12 | $0.00 |
| 90633 | 195 | 181 | $0.00 | |
| 90687 | 47 | 45 | $0.00 |