FAULKTON AREA MEDICAL CENTER
NPI: 1003526294
· FAULKTON, SD 57438
· Critical Access Hospital Clinic/Center
· NPI assigned 11/29/2022
$575.92
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, BLYTHE (CREDENTIALING) |
| NPI Enumeration Date | 11/29/2022 |
Related Entities
Other providers sharing the same authorized official: SMITH, BLYTHE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
23 |
$241.84 |
| 2023 |
13 |
$144.08 |
| 2024 |
13 |
$190.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
48 |
$575.92 |