Supplier
Shaver Holdings INC
Shaver Holdings INC was paid $700.00 by Medicaid between Oct 2018 and Sep 2021, across 3 billing codes. Its largest line is 99202, Office or other outpatient visit for the evaluation and management of a new patient, straightforward — 100% of everything it billed.
33Billing provider infoSHAVER HOLDINGS INC
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1083720494assigned 08/21/2006
33bProvider typeCompounding Pharmacy
28Total paid$700.00
24GClaims38
24DCodes billed3
24AFirst – last monthOct 2018 – Sep 2021
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 24 | $0.00 | |
| 2021 | 14 | $700.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 100% | 14 | 14 | $700.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | 12 | $0.00 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 12 | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHAVER, LORRI (OWNER)