BOISE STATE HEALTH CENTER
NPI: 1194865444
· BOISE, ID 83725
· Student Health Clinic/Center
· NPI assigned 02/07/2007
Provider Details
| Authorized Official | WOLFE, ROCHELLE (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 02/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
367 |
$15K |
| 2022 |
15 |
$208.50 |
| 2023 |
25 |
$415.39 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
316 |
285 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$720.08 |
| 90674 |
|
17 |
17 |
$347.82 |
| 90686 |
|
12 |
12 |
$213.71 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
17 |
$0.17 |