PHYSICIAN SERVICES OF MISSOURI LLC
NPI: 1164792032
· KIRKSVILLE, MO 63501
· Family Medicine Physician
· NPI assigned 01/09/2012
Provider Details
| Authorized Official | DELOACH, CASEY (MANAGER) |
| Parent Organization | VAXCARE CORPORATION |
| NPI Enumeration Date | 01/09/2012 |
Related Entities
Other providers sharing the same authorized official: DELOACH, CASEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
46 |
$607.66 |
| 2022 |
146 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
185 |
$3K |