NPI: 1962888305 · BOISE, ID 83705 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,452 | $37K |
| 2020 | 9,326 | $383K |
| 2021 | 11,205 | $447K |
| 2022 | 5,663 | $197K |
| 2024 | 685 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | 2,665 | 685 | $266K | |
| D0210 | 1,901 | 1,901 | $230K | |
| D2392 | 2,033 | 1,067 | $136K | |
| D1110 | 2,782 | 2,781 | $113K | |
| D2393 | 485 | 335 | $105K | |
| D4341 | 1,293 | 405 | $83K | |
| D0330 | 2,385 | 2,384 | $34K | |
| D2391 | 1,315 | 721 | $31K | |
| D2332 | 211 | 117 | $24K | |
| D4910 | 299 | 299 | $20K | |
| D0140 | 1,138 | 1,134 | $19K | |
| D7140 | 285 | 52 | $7K | |
| D0150 | 2,379 | 2,378 | $6K | |
| D4346 | 27 | 27 | $5K | |
| D0274 | 3,004 | 3,002 | $2K | |
| D1120 | 12 | 12 | $750.68 | |
| D0220 | 1,311 | 1,297 | $131.45 | |
| D0120 | 947 | 947 | $106.06 | |
| D1208 | 2,616 | 2,616 | $67.75 | |
| D0230 | 1,228 | 627 | $0.00 | |
| D9230 | 15 | 14 | $0.00 |