NPI: 1801806641 · JEROME, ID 83338 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 536 | $11K |
| 2019 | 842 | $16K |
| 2020 | 1,871 | $40K |
| 2021 | 1,520 | $27K |
| 2022 | 999 | $20K |
| 2023 | 615 | $16K |
| 2024 | 313 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,263 | 1,258 | $87K | |
| D2392 | 339 | 166 | $15K | |
| D0140 | 362 | 360 | $13K | |
| D0150 | 391 | 391 | $12K | |
| D2393 | 15 | 12 | $4K | |
| D0210 | 25 | 25 | $2K | |
| D1120 | 38 | 38 | $2K | |
| D0274 | 1,189 | 1,183 | $2K | |
| D0330 | 60 | 60 | $924.82 | |
| D0120 | 1,280 | 1,273 | $684.10 | |
| D0220 | 618 | 586 | $249.41 | |
| D0230 | 332 | 134 | $45.31 | |
| D1206 | 138 | 138 | $27.10 | |
| D0272 | 37 | 37 | $0.00 | |
| D1208 | 609 | 607 | $-155.93 |