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DEPARTMENT OF STATE HEALTH SERVICES
DEPARTMENT OF STATE HEALTH SERVICES
NPI: 1003982117
· TYLER, TX 75702
· Ambulatory Family Planning Facility
· NPI assigned 11/28/2006
Provider Details
| Authorized Official | OLIVER, WILLIAM (DEPUTY REGIONAL DIRECTOR) |
| NPI Enumeration Date | 11/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
43 |
$329.28 |
| 2019 |
179 |
$1K |
| 2020 |
102 |
$778.15 |
| 2021 |
987 |
$4K |
| 2022 |
857 |
$2K |
| 2023 |
642 |
$1K |
| 2024 |
29 |
$104.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,232 |
1,124 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
904 |
503 |
$4K |
| 91301 |
|
61 |
45 |
$0.14 |
| 91300 |
|
48 |
29 |
$0.08 |
| 90734 |
|
183 |
175 |
$0.05 |
| 90651 |
|
32 |
30 |
$0.02 |
| 90620 |
|
17 |
17 |
$0.01 |
| 90686 |
|
27 |
27 |
$0.01 |
| 90688 |
|
13 |
13 |
$0.01 |
| 90696 |
|
49 |
48 |
$0.00 |
| 90710 |
|
73 |
71 |
$0.00 |
| 90633 |
|
79 |
77 |
$0.00 |
| 90713 |
|
15 |
13 |
$0.00 |
| 90715 |
|
106 |
102 |
$0.00 |