COUNTY OF FREMONT
NPI: 1013917921
· CANON CITY, CO 81212
· Early Intervention Provider Agency
· NPI assigned 07/21/2005
Provider Details
| Authorized Official | MIKLICH, RICK (DIRECTOR) |
| NPI Enumeration Date | 07/21/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
988 |
$16K |
| 2019 |
1,179 |
$18K |
| 2020 |
315 |
$4K |
| 2021 |
1,205 |
$22K |
| 2022 |
648 |
$3K |
| 2023 |
560 |
$7K |
| 2024 |
165 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,082 |
1,796 |
$32K |
| 0011A |
|
440 |
312 |
$10K |
| 0012A |
|
312 |
279 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
668 |
494 |
$9K |
| 90686 |
|
961 |
835 |
$7K |
| 90715 |
|
160 |
153 |
$2K |
| 90734 |
|
16 |
16 |
$465.20 |
| 90651 |
|
39 |
38 |
$387.26 |
| 90710 |
|
13 |
12 |
$217.81 |
| 90633 |
|
27 |
26 |
$7.37 |
| G0008 |
Administration of influenza virus vaccine |
40 |
14 |
$0.00 |
| 91301 |
|
283 |
255 |
$0.00 |
| 90656 |
|
19 |
16 |
$0.00 |