COUNTY OF YUMA
NPI: 1063503530
· YUMA, AZ 85364
· Clinic/Center
· NPI assigned 09/27/2006
$170K
Total Medicaid Paid
Provider Details
| Authorized Official | GOMEZ, DIANA (DIRECTOR) |
| NPI Enumeration Date | 09/27/2006 |
Related Entities
Other providers sharing the same authorized official: GOMEZ, DIANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,117 |
$25K |
| 2019 |
1,694 |
$24K |
| 2020 |
1,538 |
$39K |
| 2021 |
1,331 |
$47K |
| 2022 |
1,110 |
$26K |
| 2023 |
591 |
$9K |
| 2024 |
287 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,013 |
3,933 |
$168K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
153 |
$2K |
| 90686 |
|
573 |
555 |
$0.12 |
| 90700 |
|
52 |
52 |
$0.00 |
| 90670 |
|
236 |
236 |
$0.00 |
| 90713 |
|
37 |
37 |
$0.00 |
| 90734 |
|
492 |
490 |
$0.00 |
| 90633 |
|
233 |
233 |
$0.00 |
| 90715 |
|
717 |
695 |
$0.00 |
| 90710 |
|
133 |
133 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90619 |
|
357 |
335 |
$0.00 |
| 90651 |
|
1,031 |
1,005 |
$0.00 |
| 90688 |
|
373 |
370 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90696 |
|
77 |
77 |
$0.00 |
| 90716 |
|
85 |
85 |
$0.00 |
| 90680 |
|
21 |
21 |
$0.00 |
| 90698 |
|
16 |
16 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |