SALEM STATE UNIVERSITY
NPI: 1255671558
· SALEM, MA 01970
· Student Health Clinic/Center
· NPI assigned 02/22/2013
Provider Details
| Authorized Official | DALY, KIMBERLY (ASSOCIATE DIRECTOR) |
| Parent Organization | COMMONWEALTH OF MASSACHUSETTS |
| NPI Enumeration Date | 02/22/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
30 |
$391.13 |
| 2021 |
60 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
15 |
15 |
$851.72 |
| 0011A |
|
16 |
16 |
$542.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$243.32 |
| 90658 |
|
16 |
15 |
$147.81 |
| 91301 |
|
29 |
29 |
$0.00 |