NPI: 1942772223 · POCATELLO, ID 83201 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 721 | $82K |
| 2020 | 2,173 | $243K |
| 2021 | 4,193 | $332K |
| 2022 | 7,662 | $609K |
| 2023 | 4,867 | $578K |
| 2024 | 5,852 | $548K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 10,147 | 8,012 | $2.39M |
| 99213 | 2,687 | 2,438 | $991.05 | |
| 99214 | 2,363 | 2,019 | $947.13 | |
| 90471 | 1,283 | 1,266 | $892.16 | |
| 81025 | 138 | 130 | $416.23 | |
| 90472 | 517 | 517 | $373.66 | |
| 36415 | 116 | 109 | $286.08 | |
| 90473 | 138 | 138 | $178.38 | |
| 87804 | 47 | 44 | $144.35 | |
| 87880 | 42 | 42 | $19.14 | |
| 90688 | 72 | 72 | $4.27 | |
| 3008F | 489 | 478 | $0.00 | |
| 96127 | 1,709 | 1,134 | $0.00 | |
| 96110 | 505 | 436 | $0.00 | |
| 1036F | 187 | 162 | $0.00 | |
| 90834 | 965 | 502 | $0.00 | |
| 85018 | 213 | 212 | $0.00 | |
| 90677 | 60 | 60 | $0.00 | |
| 3074F | 666 | 602 | $0.00 | |
| 87426 | 18 | 17 | $0.00 | |
| 90697 | 40 | 40 | $0.00 | |
| 90686 | 226 | 225 | $0.00 | |
| 3079F | 39 | 34 | $0.00 | |
| 36416 | 39 | 39 | $0.00 | |
| 91307 | 14 | 12 | $0.00 | |
| 90660 | 49 | 49 | $0.00 | |
| 3075F | 12 | 12 | $0.00 | |
| 90656 | 49 | 49 | $0.00 | |
| 90651 | 12 | 12 | $0.00 | |
| 3351F | 14 | 14 | $0.00 | |
| 99188 | 42 | 42 | $0.00 | |
| 99393 | 56 | 56 | $0.00 | |
| 99212 | 29 | 25 | $0.00 | |
| 1160F | 1,683 | 1,448 | $0.00 | |
| 99391 | 253 | 240 | $0.00 | |
| 99173 | 57 | 57 | $0.00 | |
| 90460 | 20 | 19 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 3078F | 107 | 101 | $0.00 | |
| 99392 | 69 | 69 | $0.00 | |
| 3725F | 92 | 81 | $0.00 | |
| 90672 | 54 | 54 | $0.00 | |
| 83655 | 26 | 26 | $0.00 | |
| 90671 | 28 | 28 | $0.00 | |
| H0031 | Mh health assess by non-md | 28 | 28 | $0.00 |
| 90670 | 39 | 39 | $0.00 | |
| 90461 | 17 | 16 | $0.00 |