NPI: 1861015653 · EAGLE, ID 83616 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 824 | $1K |
| 2019 | 633 | $742.99 |
| 2020 | 3,284 | $57K |
| 2021 | 6,805 | $119K |
| 2022 | 3,673 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 2,686 | 2,681 | $148K | |
| D1110 | 855 | 855 | $62K | |
| D2392 | 359 | 211 | $25K | |
| D1351 | 1,482 | 418 | $4K | |
| D0120 | 3,793 | 3,787 | $2K | |
| D2391 | 41 | 25 | $1K | |
| D7140 | 18 | 13 | $971.27 | |
| D9230 | 472 | 445 | $173.90 | |
| D0140 | 12 | 12 | $171.83 | |
| D0150 | 14 | 14 | $37.12 | |
| D0220 | 101 | 100 | $27.66 | |
| D0272 | 1,660 | 1,659 | $15.87 | |
| D0274 | 204 | 204 | $0.00 | |
| D1206 | 1,259 | 1,256 | $0.00 | |
| D1208 | 2,263 | 2,258 | $-205.61 |