NPI: 1215329594
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 264 | $4K |
| 2019 | 330 | $2K |
| 2020 | 120 | $782.76 |
| 2021 | 160 | $2K |
| 2022 | 111 | $2K |
| 2023 | 12 | $125.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 517 | 456 | $5K |
| 90686 | 225 | 215 | $4K | |
| 90750 | 12 | 12 | $1K | |
| 90715 | 13 | 13 | $394.08 | |
| 90674 | 12 | 12 | $264.55 | |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | 37 | 12 | $40.50 |
| S9430 | Pharmacy compounding and dispensing services | 181 | 75 | $0.00 |