Medicaid Provider Spending

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

PULASKI COUNTY HEALTH DEPARTMENT

NPI: 1336432145 · WINAMAC, IN 46996 · Community Health Worker · NPI assigned 05/26/2011

$1K
Total Medicaid Paid
122
Total Claims
105
Beneficiaries
2
Codes Billed
2019-08
First Month
2020-09
Last Month

Provider Details

Authorized OfficialHANSEN, TERESA (DIRECTOR)
NPI Enumeration Date05/26/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 30 $232.00
2020 92 $784.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 90 77 $624.00
90472 Immunization administration, each additional vaccine (list separately) 32 28 $392.00