NPI: 1992172993 · BLACKFOOT, ID 83221 · 208100000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 527 | $28K |
| 2021 | 1,068 | $80K |
| 2022 | 1,169 | $104K |
| 2023 | 1,261 | $91K |
| 2024 | 204 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,582 | 2,449 | $213K | |
| 99204 | 304 | 303 | $39K | |
| 99215 | Prolong outpt/office vis | 321 | 289 | $37K |
| 99213 | 250 | 240 | $11K | |
| 99212 | 235 | 234 | $9K | |
| 97597 | 116 | 45 | $5K | |
| 11042 | 26 | 12 | $2K | |
| 99203 | 17 | 17 | $1K | |
| A6021 | Collagen dressing <=16 sq in | 37 | 14 | $1K |
| A6213 | Foam drg >16<=48 sq in w/bdr | 48 | 26 | $1K |
| 99211 | 30 | 29 | $451.42 | |
| 99417 | Prolong home eval add 15m | 12 | 12 | $244.70 |
| A5120 | Skin barrier, wipe or swab | 251 | 111 | $0.00 |