DIVISION OF VETERANS SERVICES
NPI: 1285624064
· POCATELLO, ID 83201
· Skilled Nursing Facility
· NPI assigned 10/24/2005
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SCHANER, TRACY (DEPUTY CHIEF ADMINISTRATOR) |
| NPI Enumeration Date | 10/24/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
157 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
99 |
12 |
$0.00 |
| 90662 |
|
17 |
17 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |