Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ECTOR COUNTY

NPI: 1215047154 · ODESSA, TX 79761 · Public Health or Welfare Agency · NPI assigned 08/30/2006

$1K
Total Medicaid Paid
280
Total Claims
218
Beneficiaries
5
Codes Billed
2018-10
First Month
2023-07
Last Month

Provider Details

Authorized OfficialSOLLA, GINO (DIRECTOR)
NPI Enumeration Date08/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $111.75
2021 103 $670.59
2022 114 $312.90
2023 48 $272.30

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 117 114 $700.59
90472 Immunization administration, each additional vaccine (list separately) 122 63 $666.95
90734 13 13 $0.00
90715 12 12 $0.00
90651 16 16 $0.00