NPI: 1962015776 · TWIN FALLS, ID 83301 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 124 | $882.02 |
| 2021 | 1,980 | $34K |
| 2022 | 4,154 | $150K |
| 2023 | 2,675 | $88K |
| 2024 | 297 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 73721 | 472 | 446 | $56K | |
| 72148 | 319 | 319 | $39K | |
| 74177 | 374 | 371 | $38K | |
| 77067 | 230 | 230 | $20K | |
| 71046 | 1,822 | 1,772 | $17K | |
| 76830 | 316 | 315 | $16K | |
| 76856 | 330 | 330 | $15K | |
| 76705 | 192 | 189 | $10K | |
| 73630 | 1,092 | 982 | $8K | |
| 73222 | 43 | 41 | $8K | |
| 73610 | 971 | 909 | $8K | |
| 77002 | 109 | 108 | $7K | |
| 72100 | 346 | 344 | $5K | |
| 73562 | 492 | 441 | $5K | |
| 23350 | 40 | 40 | $5K | |
| 73110 | 523 | 474 | $4K | |
| 73030 | 315 | 289 | $3K | |
| 73130 | 339 | 305 | $3K | |
| 74176 | 26 | 26 | $3K | |
| 73221 | 13 | 12 | $2K | |
| 72141 | 13 | 13 | $2K | |
| 76376 | 104 | 102 | $1K | |
| 73140 | 187 | 183 | $1K | |
| 73502 | 94 | 93 | $1K | |
| 70486 | 12 | 12 | $928.80 | |
| 76770 | 15 | 15 | $797.96 | |
| 76536 | 15 | 15 | $703.02 | |
| 76700 | 12 | 12 | $552.31 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 54 | 54 | $530.09 |
| 73564 | 38 | 28 | $471.73 | |
| A9576 | Inj prohance multipack | 24 | 24 | $356.89 |
| 74019 | 13 | 13 | $169.92 | |
| 73590 | 14 | 12 | $107.00 | |
| 72040 | 12 | 12 | $102.72 | |
| 73080 | 12 | 12 | $88.08 | |
| J3301 | Triamcinolone acet inj nos | 17 | 13 | $9.62 |
| 77063 | 230 | 230 | $0.00 |