NPI: 1881200517 · LEWISTON, ID 83501 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 4,088 | $149K |
| 2022 | 4,196 | $167K |
| 2023 | 3,261 | $132K |
| 2024 | 2,932 | $132K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 5,571 | 4,941 | $318K | |
| 99213 | 5,230 | 4,768 | $238K | |
| 80305 | 1,352 | 1,168 | $13K | |
| 96127 | 1,117 | 1,038 | $5K | |
| G2211 | Complex e/m visit add on | 460 | 419 | $3K |
| 80053 | 120 | 115 | $769.61 | |
| 36415 | 397 | 369 | $650.96 | |
| 0012A | 12 | 12 | $440.00 | |
| 84443 | 16 | 15 | $149.89 | |
| 80061 | 14 | 13 | $122.83 | |
| 83036 | 19 | 17 | $80.72 | |
| 96372 | 13 | 12 | $48.25 | |
| 82247 | 12 | 12 | $31.29 | |
| 84460 | 12 | 12 | $31.29 | |
| 82310 | 12 | 12 | $31.29 | |
| 84450 | 12 | 12 | $31.29 | |
| 84075 | 12 | 12 | $31.29 | |
| 82040 | 12 | 12 | $31.29 | |
| 84520 | 12 | 12 | $30.15 | |
| 85025 | 13 | 12 | $29.00 | |
| 84155 | 12 | 12 | $28.05 | |
| 36416 | 15 | 13 | $26.94 | |
| 91301 | 32 | 32 | $0.00 |