NPI: 1982759007 · IDAHO FALLS, ID 83404 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,522 | $124K |
| 2019 | 2,370 | $122K |
| 2020 | 2,605 | $140K |
| 2021 | 4,276 | $239K |
| 2022 | 4,692 | $270K |
| 2023 | 2,887 | $208K |
| 2024 | 2,932 | $201K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 12,361 | 11,213 | $796K | |
| 99214 | 4,128 | 3,859 | $417K | |
| 90460 | 419 | 419 | $16K | |
| 87426 | 323 | 315 | $13K | |
| 90471 | 632 | 600 | $11K | |
| 96127 | 1,147 | 1,124 | $8K | |
| G2211 | Complex e/m visit add on | 480 | 420 | $7K |
| 99212 | 94 | 92 | $4K | |
| 36415 | 1,106 | 1,048 | $4K | |
| 99393 | 37 | 37 | $4K | |
| 87804 | 224 | 108 | $3K | |
| 99394 | 25 | 25 | $3K | |
| 0001A | 73 | 73 | $3K | |
| 99391 | 32 | 29 | $3K | |
| 90686 | 426 | 415 | $2K | |
| 0002A | 49 | 49 | $2K | |
| 90461 | 43 | 43 | $2K | |
| 90472 | 177 | 170 | $2K | |
| 99392 | 15 | 15 | $1K | |
| 85025 | 111 | 109 | $862.65 | |
| 87400 | 60 | 29 | $834.62 | |
| 0003A | 19 | 18 | $760.00 | |
| 80053 | 41 | 40 | $447.18 | |
| 90656 | 12 | 12 | $142.32 | |
| 81001 | 24 | 24 | $81.19 | |
| 91300 | 214 | 200 | $0.00 | |
| 90672 | 12 | 12 | $0.00 |