NEVADA STATE HEALTH DIVISION/FAR NURSIN
NPI: 1164654299
· TONOPAH, NV 89049
· Nursing Care Agency
· NPI assigned 08/24/2009
$647.40
Total Medicaid Paid
Provider Details
| Authorized Official | WHERRY, MARY (DIRECTOR OF CLINICAL SERVICES, FAR/) |
| NPI Enumeration Date | 08/24/2009 |
Related Entities
Other providers sharing the same authorized official: WHERRY, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
47 |
$382.20 |
| 2019 |
26 |
$78.00 |
| 2021 |
12 |
$93.60 |
| 2022 |
35 |
$93.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
67 |
$475.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
13 |
$171.60 |