NPI: 1912261413 · POCATELLO, ID 83201 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,582 | $401K |
| 2019 | 5,533 | $410K |
| 2020 | 7,457 | $954K |
| 2021 | 9,298 | $948K |
| 2022 | 15,253 | $1.12M |
| 2023 | 10,459 | $1.10M |
| 2024 | 9,294 | $987K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 27,782 | 24,496 | $5.72M |
| G0467 | Fqhc visit, estab pt | 3,098 | 2,375 | $91K |
| 99214 | 7,300 | 6,672 | $40K | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 376 | 318 | $32K |
| 99213 | 11,063 | 9,579 | $29K | |
| 36415 | 2,371 | 2,207 | $2K | |
| 0012A | 39 | 39 | $2K | |
| 0011A | 24 | 24 | $960.00 | |
| 99212 | 211 | 186 | $754.43 | |
| 0013A | 13 | 13 | $440.00 | |
| 80305 | 453 | 403 | $219.10 | |
| 90686 | 58 | 56 | $75.62 | |
| 1036F | 3,686 | 3,370 | $48.69 | |
| 90471 | 14 | 14 | $38.58 | |
| 96127 | 1,152 | 735 | $13.02 | |
| 1160F | 7,039 | 6,328 | $5.46 | |
| 3078F | 169 | 161 | $0.00 | |
| 3725F | 297 | 284 | $0.00 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $0.00 |
| 3074F | 313 | 297 | $0.00 | |
| 90834 | 55 | 26 | $0.00 | |
| 91301 | 154 | 154 | $0.00 | |
| 3008F | 23 | 22 | $0.00 | |
| 3079F | 110 | 103 | $0.00 | |
| 1034F | 62 | 54 | $0.00 |