TOOELE COUNTY HEALTH DEPT
NPI: 1023121290
· TOOELE, UT 84074
· Public Health or Welfare Agency
· NPI assigned 08/15/2006
$289K
Total Medicaid Paid
Provider Details
| Authorized Official | AHLSTROM, SHERRIE (COMMUNITY HEALTH SUPERVISOR) |
| NPI Enumeration Date | 08/15/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,918 |
$51K |
| 2019 |
3,420 |
$65K |
| 2020 |
2,387 |
$64K |
| 2021 |
2,236 |
$64K |
| 2022 |
1,760 |
$35K |
| 2023 |
679 |
$3K |
| 2024 |
1,126 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
862 |
685 |
$160K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,869 |
3,465 |
$72K |
| T1017 |
Targeted case management, each 15 minutes |
1,726 |
1,348 |
$30K |
| 90473 |
|
1,426 |
1,057 |
$13K |
| 90651 |
|
283 |
213 |
$3K |
| 90688 |
|
2,024 |
1,434 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,629 |
1,137 |
$3K |
| 90658 |
|
98 |
97 |
$943.33 |
| 91304 |
|
60 |
59 |
$896.02 |
| 90660 |
|
102 |
98 |
$864.12 |
| 90672 |
|
1,264 |
908 |
$577.68 |
| 90687 |
|
163 |
92 |
$574.76 |
| 91322 |
|
17 |
17 |
$493.92 |
| 90715 |
|
443 |
310 |
$322.59 |
| 90671 |
|
19 |
19 |
$223.00 |
| 90619 |
|
56 |
48 |
$199.15 |
| 90647 |
|
61 |
46 |
$30.00 |
| 90710 |
|
98 |
70 |
$27.62 |
| 90734 |
|
202 |
133 |
$26.94 |
| 90670 |
|
53 |
35 |
$0.00 |
| 90633 |
|
20 |
12 |
$0.00 |
| 90696 |
|
39 |
27 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |