NPI: 1144523465
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 51 | $628.03 |
| 2019 | 14 | $0.00 |
| 2020 | 93 | $620.26 |
| 2021 | 1,838 | $57K |
| 2022 | 640 | $20K |
| 2023 | 165 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 695 | 695 | $25K | |
| 0001A | 666 | 666 | $21K | |
| 0054A | 153 | 153 | $6K | |
| 0004A | 150 | 150 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 432 | 416 | $5K |
| 0071A | 109 | 109 | $5K | |
| 0072A | 102 | 102 | $4K | |
| 0124A | 98 | 98 | $4K | |
| 90686 | 225 | 220 | $3K | |
| 91320 | 21 | 20 | $2K | |
| 90674 | 70 | 69 | $2K | |
| 90480 | 21 | 20 | $786.24 | |
| 0052A | 12 | 12 | $476.52 | |
| S9430 | Pharmacy compounding and dispensing services | 47 | 42 | $0.00 |