NPI: 1922243088 · BLACKFOOT, ID 83221 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,241 | $385K |
| 2019 | 6,032 | $307K |
| 2020 | 5,938 | $343K |
| 2021 | 8,092 | $468K |
| 2022 | 8,327 | $452K |
| 2023 | 5,701 | $328K |
| 2024 | 5,054 | $319K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 24,678 | 23,809 | $2.58M |
| 99213 | 12,253 | 11,984 | $11K | |
| 99214 | 5,699 | 5,583 | $10K | |
| 87502 | 699 | 644 | $372.60 | |
| 87651 | 864 | 859 | $368.81 | |
| 99203 | 303 | 303 | $35.96 | |
| 96372 | 243 | 228 | $29.96 | |
| 90460 | 182 | 178 | $24.41 | |
| 99392 | 117 | 116 | $19.51 | |
| 87635 | 650 | 644 | $0.00 | |
| S9088 | Services provided in urgent | 187 | 185 | $0.00 |
| 90698 | 123 | 121 | $0.00 | |
| 96127 | 201 | 192 | $0.00 | |
| 99000 | 12 | 12 | $0.00 | |
| 90471 | 104 | 102 | $0.00 | |
| J1100 | Dexamethasone sodium phos | 14 | 14 | $0.00 |
| 99202 | 18 | 17 | $0.00 | |
| 90680 | 12 | 12 | $0.00 | |
| 81003 | 89 | 83 | $0.00 | |
| 99391 | 172 | 165 | $0.00 | |
| 90461 | 144 | 143 | $0.00 | |
| 87811 | 288 | 285 | $0.00 | |
| 90670 | 138 | 136 | $0.00 | |
| 87880 | 18 | 18 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 90472 | 87 | 85 | $0.00 | |
| 87804 | 53 | 38 | $0.00 | |
| 99215 | Prolong outpt/office vis | 13 | 12 | $0.00 |
| 99393 | 12 | 12 | $0.00 |