NPI: 1942836911 · IDAHO FALLS, ID 83404 · 103T00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 316 | $18K |
| 2022 | 9,967 | $294K |
| 2023 | 12,520 | $621K |
| 2024 | 2,638 | $176K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,271 | 2,847 | $285K | |
| 99213 | 3,944 | 3,609 | $236K | |
| H0038 | Self-help/peer svc per 15min | 1,722 | 437 | $174K |
| H2017 | Psysoc rehab svc, per 15 min | 1,565 | 399 | $133K |
| A0100 | Nonemergency transport taxi | 10,952 | 882 | $131K |
| T1017 | Targeted case management | 1,014 | 354 | $79K |
| 98941 | 616 | 391 | $16K | |
| 90834 | 575 | 191 | $14K | |
| 99204 | 68 | 68 | $9K | |
| 80305 | 892 | 680 | $8K | |
| H0032 | Mh svc plan dev by non-md | 117 | 92 | $6K |
| 99212 | 144 | 138 | $5K | |
| H2014 | Skills train and dev, 15 min | 47 | 12 | $3K |
| 95117 | 290 | 82 | $2K | |
| 99203 | 30 | 29 | $2K | |
| G0481 | Drug test def 8-14 classes | 18 | 14 | $2K |
| 99202 | 30 | 30 | $2K | |
| 99211 | 104 | 95 | $1K | |
| 87635 | 13 | 13 | $600.34 | |
| 96372 | 29 | 26 | $226.40 |