ONTARIO COUNTY
NPI: 1154329761
· CANANDAIGUA, NY 14424
· Public Health or Welfare Agency
· NPI assigned 07/08/2005
$560.30
Total Medicaid Paid
Provider Details
| Authorized Official | BEER, MARY (PUBLIC HEALTH DIRECTOR) |
| Parent Organization | ONTARIO COUNTY |
| NPI Enumeration Date | 07/08/2005 |
Related Entities
Other providers sharing the same authorized official: BEER, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
12 |
$194.80 |
| 2024 |
16 |
$365.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$365.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$194.80 |