NPI: 1063515831
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 75 | $0.00 |
| 2020 | 134 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 77 | 59 | $731.50 |
| 90686 | 43 | 29 | $276.67 | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 75 | 73 | $0.00 |
| 90471CG | 14 | 14 | $0.00 |