NPI: 1821278201 · COEUR D ALENE, ID 83815 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,442 | $43K |
| 2019 | 1,851 | $49K |
| 2020 | 2,054 | $58K |
| 2021 | 1,412 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 5,906 | 379 | $165K | |
| A4657 | Syringe w/wo needle | 258 | 26 | $751.49 |
| 83970 | 179 | 156 | $391.95 | |
| 83540 | 303 | 269 | $385.38 | |
| 84520 | 163 | 89 | $275.10 | |
| 82728 | 130 | 113 | $168.34 | |
| 83550 | 158 | 138 | $152.56 | |
| 82040 | 28 | 26 | $138.11 | |
| 82310 | 27 | 26 | $137.14 | |
| 84100 | 27 | 26 | $136.80 | |
| 85025 | 240 | 216 | $99.28 | |
| 84155 | 115 | 100 | $94.02 | |
| 83735 | 56 | 50 | $90.71 | |
| 82565 | 28 | 24 | $84.51 | |
| 84075 | 28 | 25 | $21.87 | |
| 80051 | 12 | 12 | $0.00 | |
| 85018 | 101 | 49 | $0.00 |