NPI: 1902325749 · MERIDIAN, ID 83642 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,117 | $86K |
| 2019 | 7,476 | $127K |
| 2020 | 4,189 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,346 | 1,346 | $74K | |
| D2392 | 597 | 368 | $46K | |
| D0150 | 800 | 800 | $43K | |
| D0274 | 582 | 582 | $28K | |
| D1110 | 549 | 549 | $27K | |
| D0210 | 95 | 95 | $20K | |
| D0330 | 294 | 294 | $19K | |
| D2391 | 308 | 221 | $16K | |
| D1351 | 2,734 | 496 | $3K | |
| D0145 | 18 | 18 | $1K | |
| D0120 | 980 | 980 | $300.56 | |
| D9230 | 678 | 571 | $94.05 | |
| D0272 | 420 | 420 | $0.00 | |
| D0230 | 3,935 | 1,472 | $0.00 | |
| D1206 | 1,885 | 1,885 | $0.00 | |
| D0220 | 1,561 | 1,550 | $0.00 |