LEWIS COUNTY BOARD OF HEALTH
NPI: 1245327709
· WESTON, WV 26452
· Public Health or Welfare Agency
· NPI assigned 10/06/2006
$348.02
Total Medicaid Paid
Provider Details
| Authorized Official | RUBLE, GENEVIEVE (ADMINISTRATOR) |
| NPI Enumeration Date | 10/06/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
42 |
$235.22 |
| 2023 |
38 |
$112.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0124A |
|
14 |
13 |
$216.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
28 |
$132.00 |
| 91312 |
|
14 |
13 |
$0.02 |
| 90619 |
|
18 |
14 |
$0.00 |