NPI: 1356386064 · BUCYRUS, OH 44820 · Clinic/Center · NPI assigned 06/17/2006
| Authorized Official | SIEFERT, KATHERINE (HEALTH COMMISSIONER) |
| NPI Enumeration Date | 06/17/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 626 | $13K |
| 2019 | 844 | $16K |
| 2020 | 483 | $12K |
| 2021 | 292 | $8K |
| 2022 | 499 | $10K |
| 2023 | 543 | $12K |
| 2024 | 598 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2,286 | 2,093 | $77K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 274 | 223 | $4K |
| 83655 | 90 | 89 | $663.03 | |
| 90734 | 283 | 267 | $475.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 26 | 25 | $354.96 |
| 90686 | 50 | 49 | $305.39 | |
| 90688 | 26 | 26 | $227.88 | |
| 90651 | 75 | 71 | $218.41 | |
| 90619 | 109 | 103 | $158.06 | |
| 90716 | 39 | 38 | $137.55 | |
| 90715 | 173 | 167 | $133.63 | |
| 90707 | 51 | 50 | $67.66 | |
| 90670 | 182 | 166 | $20.00 | |
| 90710 | 14 | 12 | $0.00 | |
| 90633 | 47 | 46 | $0.00 | |
| 90671 | 28 | 27 | $0.00 | |
| 90698 | 95 | 93 | $0.00 | |
| 90744 | 12 | 12 | $0.00 | |
| 90696 | 25 | 25 | $0.00 |