THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPI: 1154311686
· ELLSWORTH, KS 67439
· Parenteral & Enteral Nutrition Supplies (DME)
· NPI assigned 10/26/2005
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | FLUIT, JOEL (CFO) |
| Parent Organization | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| NPI Enumeration Date | 10/26/2005 |
Related Entities
Other providers sharing the same authorized official: FLUIT, JOEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$0.00 |
| 2019 |
69 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90670 |
|
13 |
13 |
$0.00 |
| 90662 |
|
39 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
18 |
18 |
$0.00 |