NPI: 1871608695 · BOISE, ID 83714 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,159 | $71K |
| 2019 | 4,355 | $91K |
| 2020 | 9,688 | $286K |
| 2021 | 20,610 | $655K |
| 2022 | 4,550 | $145K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0003 | Cov-19 amp prb hgh thruput | 7,325 | 5,175 | $446K |
| 88305 | 5,969 | 5,645 | $313K | |
| U0005 | Infec agen detec ampli probe | 5,488 | 4,031 | $107K |
| 88312 | 491 | 487 | $49K | |
| 87491 | 1,031 | 1,021 | $38K | |
| 87591 | 980 | 972 | $36K | |
| 87624 | 703 | 703 | $27K | |
| 88142 | 1,125 | 1,122 | $24K | |
| 85025 | 2,834 | 2,788 | $23K | |
| 84443 | 1,197 | 1,189 | $21K | |
| 87389 | 789 | 786 | $19K | |
| 80053 | 1,400 | 1,378 | $15K | |
| 36415 | 4,032 | 3,733 | $11K | |
| 86780 | 710 | 707 | $10K | |
| 80061 | 658 | 652 | $9K | |
| 86762 | 629 | 624 | $9K | |
| 87086 | 1,068 | 1,018 | $9K | |
| 87660 | 383 | 367 | $8K | |
| 87480 | 382 | 366 | $8K | |
| 87510 | 382 | 366 | $8K | |
| 87340 | 689 | 684 | $7K | |
| 84439 | 648 | 643 | $6K | |
| 87653 | 154 | 151 | $6K | |
| 86850 | 712 | 705 | $5K | |
| 88304 | 129 | 124 | $5K | |
| 83036 | 392 | 390 | $4K | |
| 87635 | 108 | 105 | $3K | |
| 82950 | 617 | 605 | $3K | |
| 84481 | 116 | 116 | $2K | |
| 86901 | 688 | 678 | $2K | |
| 86900 | 688 | 678 | $2K | |
| 86769 | 73 | 68 | $2K | |
| 87186 | 173 | 163 | $2K | |
| 87077 | 133 | 123 | $1K | |
| 82728 | 67 | 67 | $982.22 | |
| 87070 | 111 | 109 | $968.16 | |
| 87811 | 25 | 23 | $931.00 | |
| 82306 | 25 | 25 | $792.38 | |
| 84144 | 33 | 33 | $737.01 | |
| 84403 | 25 | 25 | $690.71 | |
| 87205 | 123 | 119 | $547.83 | |
| 86328 | 13 | 13 | $488.19 | |
| 84702 | 15 | 12 | $238.63 | |
| 82607 | 13 | 13 | $217.58 | |
| 86787 | 16 | 16 | $197.31 |