NPI: 1902078785 · GRANGEVILLE, ID 83530 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 314 | $0.00 |
| 2019 | 473 | $352.70 |
| 2020 | 472 | $172.48 |
| 2021 | 655 | $17.80 |
| 2022 | 346 | $71.20 |
| 2023 | 436 | $1K |
| 2024 | 376 | $38.06 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 13 | 13 | $1K | |
| G9903 | Pt scrn tbco id as non user | 587 | 558 | $458.72 |
| 92015 | 261 | 258 | $287.26 | |
| G8754 | Dias bp less 90 | 549 | 527 | $4.36 |
| 1036F | 601 | 571 | $4.36 | |
| G8427 | Docrev cur meds by elig clin | 569 | 532 | $4.34 |
| G8752 | Sys bp less 140 | 479 | 464 | $0.00 |
| G8418 | Calc bmi blw low param f/u | 13 | 13 | $0.00 |