DEPARTMENT OF STATE HEALTH SERVICES
NPI: 1033285168
· SAN ANTONIO, TX 78229
· State or Local Public Health Clinic/Center
· NPI assigned 11/28/2006
Provider Details
| Authorized Official | MARTINEZ, ANITA (DEPUTY REGIONAL DIRECTOR) |
| NPI Enumeration Date | 11/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
66 |
$517.44 |
| 2020 |
25 |
$195.28 |
| 2021 |
248 |
$1K |
| 2022 |
328 |
$299.37 |
| 2023 |
377 |
$373.52 |
| 2024 |
24 |
$69.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
446 |
412 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
348 |
187 |
$1K |
| 90651 |
|
50 |
50 |
$0.01 |
| 90696 |
|
48 |
38 |
$0.00 |
| 90715 |
|
66 |
66 |
$0.00 |
| 90710 |
|
37 |
37 |
$0.00 |
| 90734 |
|
73 |
73 |
$0.00 |