KNOX COUNTY IMMUNIZATION CLINIC
NPI: 1023189610
· VINCENNES, IN 47591
· Public Health or Welfare Agency
· NPI assigned 11/13/2006
$135K
Total Medicaid Paid
Provider Details
| Authorized Official | STEWART, ALAN (COUNTY HEALTH OFFICER) |
| NPI Enumeration Date | 11/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,170 |
$15K |
| 2019 |
2,869 |
$15K |
| 2020 |
1,740 |
$15K |
| 2021 |
2,607 |
$28K |
| 2022 |
2,742 |
$29K |
| 2023 |
1,570 |
$17K |
| 2024 |
1,414 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,494 |
3,203 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,889 |
4,568 |
$57K |
| 0004A |
|
208 |
202 |
$7K |
| 0002A |
|
109 |
87 |
$3K |
| 0071A |
|
55 |
49 |
$2K |
| 0124A |
|
93 |
47 |
$2K |
| 0072A |
|
43 |
42 |
$2K |
| 0054A |
|
37 |
37 |
$1K |
| 0001A |
|
36 |
35 |
$1K |
| 0013A |
|
31 |
31 |
$1K |
| 0064A |
|
30 |
29 |
$967.46 |
| 0003A |
|
22 |
20 |
$632.57 |
| 90474 |
|
74 |
65 |
$515.94 |
| 0134A |
|
24 |
12 |
$369.00 |
| 90686 |
|
307 |
300 |
$16.00 |
| 90715 |
|
468 |
457 |
$10.33 |
| 90734 |
|
641 |
619 |
$0.00 |
| 90633 |
|
1,350 |
1,298 |
$0.00 |
| 90670 |
|
918 |
868 |
$0.00 |
| 90710 |
|
207 |
202 |
$0.00 |
| 91300 |
|
474 |
435 |
$0.00 |
| 90707 |
|
46 |
46 |
$0.00 |
| 91313 |
|
24 |
12 |
$0.00 |
| 90671 |
|
50 |
46 |
$0.00 |
| 91312 |
|
93 |
47 |
$0.00 |
| 90473 |
|
13 |
13 |
$0.00 |
| 90697 |
|
266 |
238 |
$0.00 |
| 90698 |
|
652 |
616 |
$0.00 |
| 90619 |
|
391 |
379 |
$0.00 |
| 90696 |
|
200 |
197 |
$0.00 |
| 91301 |
|
157 |
153 |
$0.00 |
| 90677 |
|
126 |
123 |
$0.00 |
| 90680 |
|
101 |
96 |
$0.00 |
| 91305 |
|
57 |
53 |
$0.00 |
| 90744 |
|
232 |
224 |
$0.00 |
| 91307 |
|
99 |
86 |
$0.00 |
| 90716 |
|
47 |
47 |
$0.00 |
| 90651 |
|
48 |
47 |
$0.00 |