NPI: 1962896027 · POCATELLO, ID 83202 · Clinical Social Worker · NPI assigned 03/26/2015
| Authorized Official | FISHER, JONNY (CEO) |
| NPI Enumeration Date | 03/26/2015 |
Other providers sharing the same authorized official: FISHER, JONNY
| Provider | City | State | Total Paid |
|---|---|---|---|
| HERITAGE HOME HEALTH LLC | POCATELLO | ID | $210.01 |
| HERITAGE HOME HEALTH, LLC | POCATELLO | ID | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 308 | $7K |
| 2019 | 471 | $11K |
| 2023 | 115 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99336 | 518 | 413 | $14K | |
| 99348 | 115 | 114 | $3K | |
| 99335 | 138 | 116 | $3K | |
| 99310 | Prolong nursin fac eval 15m | 17 | 16 | $621.74 |
| 99334 | 24 | 19 | $265.82 | |
| G0008 | Administration of influenza virus vaccine | 23 | 22 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 59 | 40 | $0.00 |