NPI: 1922129840 · POCATELLO, ID 83201 · 101Y00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,742 | $238K |
| 2019 | 2,533 | $204K |
| 2020 | 1,471 | $115K |
| 2022 | 968 | $116K |
| 2023 | 1,408 | $200K |
| 2024 | 612 | $94K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 96139 | 1,065 | 1,001 | $228K | |
| 90834 | 3,792 | 1,684 | $198K | |
| 90791 | 1,761 | 1,741 | $197K | |
| 96133 | 500 | 493 | $117K | |
| 96132 | 505 | 495 | $51K | |
| 96119 | 201 | 168 | $36K | |
| 96118 | 125 | 125 | $34K | |
| 96138 | 1,007 | 990 | $31K | |
| 90847 | 348 | 199 | $26K | |
| 96102 | 82 | 79 | $14K | |
| 96131 | 65 | 62 | $13K | |
| 96101 | 38 | 37 | $7K | |
| 96130 | 67 | 62 | $6K | |
| 90846 | 68 | 67 | $5K | |
| 90832 | 91 | 90 | $4K | |
| H0031 | Mh health assess by non-md | 19 | 16 | $722.94 |