JUDITH A KING MN FNP PC
NPI: 1154621613
· GRANTS PASS, OR 97526
· Family Nurse Practitioner
· NPI assigned 10/29/2010
$449.60
Total Medicaid Paid
Provider Details
| Authorized Official | KING, JUDITH (OWNER/PROVIDER) |
| NPI Enumeration Date | 10/29/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
418 |
$0.00 |
| 2019 |
420 |
$449.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
19 |
19 |
$256.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$180.15 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
804 |
622 |
$12.50 |