JACKSON IA OPCO LLC
NPI: 1326742610
· MAQUOKETA, IA 52060
· Skilled Nursing Facility
· NPI assigned 03/29/2023
$3.77
Total Medicaid Paid
Provider Details
| Authorized Official | SVARC, JONAH (MANAGING MEMBER) |
| NPI Enumeration Date | 03/29/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
15 |
$3.77 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$3.77 |