NPI: 1356567325 · JACKSONVILLE, TX 75766 · Public Health or Welfare Agency · NPI assigned 04/18/2007
| Authorized Official | HALE, ALLISON (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/18/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 459 | $3K |
| 2022 | 574 | $2K |
| 2023 | 157 | $1K |
| 2024 | 44 | $244.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 377 | 368 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 290 | 162 | $2K |
| 0001A | 63 | 55 | $2K | |
| 91300 | 111 | 71 | $0.03 | |
| 90734 | 105 | 105 | $0.03 | |
| 90651 | 89 | 89 | $0.03 | |
| 90710 | 32 | 32 | $0.00 | |
| 90633 | 13 | 13 | $0.00 | |
| 90715 | 64 | 64 | $0.00 | |
| 90656 | 13 | 13 | $0.00 | |
| 90688 | 14 | 14 | $0.00 | |
| 91307 | 25 | 17 | $0.00 | |
| 90620 | 21 | 20 | $0.00 | |
| 90696 | 17 | 17 | $0.00 |