Medicaid Provider Spending

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

COUNTY OF OBRIEN

NPI: 1235135666 · PRIMGHAR, IA 51245 · Public Health or Welfare Agency · NPI assigned 06/21/2005

Deactivated NPI · This NPI was deactivated on 07/17/2007. Reactivated 08/01/2007.
$2K
Total Medicaid Paid
333
Total Claims
303
Beneficiaries
7
Codes Billed
2021-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialYOUNGERS, LISA (NURSE ADMINSTRATOR)
NPI Enumeration Date06/21/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 40 $81.44
2022 136 $1K
2023 64 $250.92
2024 93 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 65 62 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 125 116 $437.74
90734 13 13 $360.96
90461 25 17 $189.18
90686 58 54 $180.00
90472 Immunization administration, each additional vaccine (list separately) 23 19 $106.89
90656 24 22 $41.71