Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LIBERTY COUNTY

NPI: 1073644902 · CHESTER, MT 59522 · Registered Nurse · NPI assigned 03/09/2007

$27K
Total Medicaid Paid
1,360
Total Claims
1,298
Beneficiaries
7
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKANTOROWICZ, MELISSA (MANAGER OF LIBERTY COUNTY PUBLIC HE)
Parent OrganizationLIBERTY COUNTY
NPI Enumeration Date03/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 370 $8K
2019 326 $6K
2020 165 $3K
2021 218 $5K
2022 160 $3K
2023 72 $1K
2024 49 $596.39

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 654 620 $19K
90686 526 509 $4K
90734 16 14 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 72 65 $1K
G0008 Administration of influenza virus vaccine 56 56 $719.12
90715 16 15 $413.06
90656 20 19 $149.41