NPI: 1902948946 · GREAT FALLS, MT 59401 · 261QM0855X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19,777 | $5K |
| 2019 | 37,936 | $0.00 |
| 2020 | 31,559 | $53.56 |
| 2021 | 29,898 | $194.37 |
| 2022 | 29,843 | $0.00 |
| 2023 | 42,953 | $95.78 |
| 2024 | 32,745 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | 307 | 301 | $4K | |
| 90471 | 4,458 | 4,201 | $723.80 | |
| G2025 | Dis site tele svcs rhc/fqhc | 486 | 345 | $177.53 |
| 90688 | 832 | 809 | $171.00 | |
| G0467 | Fqhc visit, estab pt | 12,412 | 9,186 | $70.40 |
| 90832 | 33,006 | 16,451 | $54.45 | |
| 99213 | 45,686 | 37,177 | $41.33 | |
| 90834 | 8,581 | 5,573 | $0.00 | |
| 87430 | 578 | 546 | $0.00 | |
| 99214 | 14,523 | 12,823 | $0.00 | |
| D0150 | 2,630 | 2,604 | $0.00 | |
| 36415 | 2,261 | 2,096 | $0.00 | |
| 83036 | 1,244 | 1,166 | $0.00 | |
| 96372 | 2,840 | 2,463 | $0.00 | |
| 90677 | 62 | 55 | $0.00 | |
| 96150 | 229 | 214 | $0.00 | |
| D0120 | 1,089 | 1,082 | $0.00 | |
| 94010 | 182 | 155 | $0.00 | |
| D1206 | 747 | 745 | $0.00 | |
| 82962 | 3,613 | 3,154 | $0.00 | |
| D0140 | 3,419 | 3,298 | $0.00 | |
| 88142 | 236 | 226 | $0.00 | |
| D0210 | 1,360 | 1,345 | $0.00 | |
| D2392 | 680 | 540 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 328 | 287 | $0.00 |
| 90636 | 237 | 231 | $0.00 | |
| 90651 | 295 | 277 | $0.00 | |
| D7140 | 3,804 | 1,728 | $0.00 | |
| 99205 | Prolong outpt/office vis | 49 | 47 | $0.00 |
| 84704 | 241 | 230 | $0.00 | |
| G0008 | Admin influenza virus vac | 294 | 282 | $0.00 |
| D0230 | 142 | 81 | $0.00 | |
| 93000 | 417 | 392 | $0.00 | |
| 90480 | 35 | 33 | $0.00 | |
| 99202 | 426 | 357 | $0.00 | |
| 99441 | 54 | 54 | $0.00 | |
| 90732 | 64 | 64 | $0.00 | |
| D2331 | 52 | 39 | $0.00 | |
| 90847 | 134 | 79 | $0.00 | |
| D2330 | 56 | 45 | $0.00 | |
| 98967 | 243 | 174 | $0.00 | |
| 90839 | 19 | 18 | $0.00 | |
| 99443 | 14 | 14 | $0.00 | |
| J3420 | Vitamin b12 injection | 12 | 12 | $0.00 |
| 96127 | 49 | 45 | $0.00 | |
| 90792 | 177 | 168 | $0.00 | |
| 99000 | 101 | 99 | $0.00 | |
| D1351 | 40 | 12 | $0.00 | |
| 90686 | 21 | 19 | $0.00 | |
| 90674 | 89 | 86 | $0.00 | |
| D2393 | 12 | 12 | $0.00 | |
| 90673 | 16 | 16 | $0.00 | |
| 87880 | 260 | 247 | $0.00 | |
| 99212 | 6,172 | 5,339 | $0.00 | |
| 90837 | 9,272 | 3,772 | $0.00 | |
| D1110 | 3,108 | 3,062 | $0.00 | |
| 87811 | 423 | 405 | $0.00 | |
| 99203 | 3,384 | 3,109 | $0.00 | |
| 81002 | 2,263 | 2,042 | $0.00 | |
| D0220 | 3,241 | 3,111 | $0.00 | |
| 90472 | 1,072 | 1,023 | $0.00 | |
| D0330 | 1,137 | 1,127 | $0.00 | |
| D2391 | 576 | 424 | $0.00 | |
| 90461 | 55 | 54 | $0.00 | |
| 99396 | 452 | 444 | $0.00 | |
| G0470 | Fqhc visit, mh estab pt | 936 | 587 | $0.00 |
| 99204 | 985 | 928 | $0.00 | |
| 90853 | 24,929 | 5,281 | $0.00 | |
| 90791 | 4,241 | 3,992 | $0.00 | |
| D2332 | 16 | 14 | $0.00 | |
| 99393 | 102 | 102 | $0.00 | |
| 99215 | Prolong outpt/office vis | 1,250 | 1,134 | $0.00 |
| 90833 | 655 | 505 | $0.00 | |
| D0274 | 1,594 | 1,580 | $0.00 | |
| D0270 | 392 | 387 | $0.00 | |
| 98966 | 128 | 114 | $0.00 | |
| 90715 | 579 | 535 | $0.00 | |
| 99395 | 160 | 152 | $0.00 | |
| J1050 | Medroxyprogesterone acetate | 50 | 43 | $0.00 |
| 99394 | 85 | 84 | $0.00 | |
| 90785 | 5,750 | 2,403 | $0.00 | |
| 81025 | 130 | 122 | $0.00 | |
| 90682 | 710 | 681 | $0.00 | |
| 87804 | 555 | 517 | $0.00 | |
| D4910 | 218 | 214 | $0.00 | |
| D0431 | 34 | 33 | $0.00 | |
| D7210 | 21 | 13 | $0.00 | |
| 90658 | 45 | 45 | $0.00 | |
| 90750 | 78 | 78 | $0.00 | |
| J3301 | Triamcinolone acet inj nos | 12 | 12 | $0.00 |
| D1354 | 160 | 65 | $0.00 | |
| 96160 | 23 | 18 | $0.00 | |
| 91320 | 18 | 16 | $0.00 | |
| 90662 | 71 | 63 | $0.00 | |
| DRADF | 16 | 15 | $0.00 | |
| 90756 | 135 | 129 | $0.00 | |
| 99392 | 28 | 27 | $0.00 | |
| 99408 | 13 | 13 | $0.00 | |
| 99442 | 33 | 33 | $0.00 | |
| D2150 | 50 | 42 | $0.00 | |
| D1120 | 47 | 45 | $0.00 | |
| D2950 | 15 | 15 | $0.00 | |
| D1999 | 150 | 136 | $0.00 |