LIBERTY COUNTY
NPI: 1073644902
· CHESTER, MT 59522
· Registered Nurse
· NPI assigned 03/09/2007
Provider Details
| Authorized Official | KANTOROWICZ, MELISSA (MANAGER OF LIBERTY COUNTY PUBLIC HE) |
| Parent Organization | LIBERTY COUNTY |
| NPI Enumeration Date | 03/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total 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 |