PRAIRIE MISSION RETIREMENT VILLAGE
NPI: 1134159452
· SAINT PAUL, KS 66771
· Skilled Nursing Facility
· NPI assigned 07/03/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | THORNTON, BRENDA (ADMINISTRATOR) |
| NPI Enumeration Date | 07/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$0.00 |
| 2019 |
24 |
$0.00 |
| 2020 |
26 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
37 |
37 |
$0.00 |
| 90688 |
|
25 |
25 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
12 |
12 |
$0.00 |