Medicaid Provider Spending

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

EFFINGHAM COUNTY BOARD OF HEALTH

NPI: 1326046582 · SPRINGFIELD, GA 31329 · Public Health or Welfare Agency · NPI assigned 07/12/2005

$841.78
Total Medicaid Paid
96
Total Claims
93
Beneficiaries
5
Codes Billed
2018-03
First Month
2018-03
Last Month

Provider Details

Authorized OfficialCOOPER, STACY (BILLING COORDINATOR)
NPI Enumeration Date07/12/2005

Related Entities

Other providers sharing the same authorized official: COOPER, STACY

ProviderCityStateTotal Paid
WYNNE APOTHECARY INC WYNNE AR $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 96 $841.78

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90472 Immunization administration, each additional vaccine (list separately) 12 12 $230.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19 19 $226.98
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 16 $160.00
V5008 Hearing screening 23 23 $129.26
99173 24 23 $95.54