INDEPENDENT SCHOOL DISTRICT 625
NPI: 1376604793
· SAINT PAUL, MN 55102
· Local Education Agency (LEA)
· NPI assigned 12/12/2006
$207K
Total Medicaid Paid
Provider Details
| Authorized Official | ROCKNEY, LOIS (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 12/12/2006 |
Related Entities
Other providers sharing the same authorized official: ROCKNEY, LOIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,247 |
$57K |
| 2019 |
4,292 |
$144K |
| 2021 |
141 |
$571.86 |
| 2023 |
213 |
$1K |
| 2024 |
402 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,539 |
1,478 |
$202K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
297 |
297 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
44 |
$685.37 |
| 90461 |
|
121 |
99 |
$587.89 |
| 90734 |
|
105 |
95 |
$0.00 |
| 90715 |
|
84 |
71 |
$0.00 |
| 90710 |
|
31 |
31 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |