COUNTY OF OTTAWA
NPI: 1376875229
· HOLLAND, MI 49424
· Public Health or Welfare Agency
· NPI assigned 02/03/2010
$520K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: STEFANOVSKY, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,745 |
$54K |
| 2019 |
7,235 |
$49K |
| 2020 |
4,633 |
$31K |
| 2021 |
5,439 |
$40K |
| 2022 |
8,084 |
$170K |
| 2023 |
6,490 |
$61K |
| 2024 |
6,121 |
$115K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,365 |
6,326 |
$130K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,798 |
8,704 |
$84K |
| V5008 |
Hearing screening |
6,412 |
6,371 |
$60K |
| 90716 |
|
1,176 |
1,171 |
$55K |
| 90651 |
|
1,356 |
1,353 |
$41K |
| 99172 |
|
4,154 |
4,122 |
$39K |
| 90707 |
|
954 |
943 |
$28K |
| 90636 |
|
201 |
199 |
$18K |
| 90715 |
|
1,304 |
1,296 |
$16K |
| 91322 |
|
92 |
92 |
$8K |
| 90480 |
|
335 |
334 |
$8K |
| 90474 |
|
934 |
933 |
$7K |
| 90686 |
|
2,706 |
2,688 |
$4K |
| 90632 |
|
79 |
79 |
$4K |
| 90713 |
|
169 |
167 |
$4K |
| 0051A |
|
126 |
124 |
$3K |
| 90739 |
|
18 |
18 |
$2K |
| 90734 |
|
991 |
991 |
$2K |
| 90746 |
|
38 |
38 |
$2K |
| 90620 |
|
136 |
136 |
$1K |
| 90670 |
|
1,902 |
1,890 |
$1K |
| 0124A |
|
52 |
52 |
$1K |
| 90473 |
|
341 |
337 |
$1K |
| 90656 |
|
220 |
220 |
$931.00 |
| 0001A |
|
16 |
16 |
$345.00 |
| 0154A |
|
14 |
14 |
$322.00 |
| 0052A |
|
12 |
12 |
$276.00 |
| 90671 |
|
645 |
645 |
$207.00 |
| 90688 |
|
240 |
240 |
$51.00 |
| 90660 |
|
16 |
16 |
$22.00 |
| 90700 |
|
53 |
53 |
$6.00 |
| 90696 |
|
330 |
330 |
$0.00 |
| 90697 |
|
473 |
473 |
$0.00 |
| 90680 |
|
1,011 |
1,006 |
$0.00 |
| 90744 |
|
763 |
758 |
$0.00 |
| 90698 |
|
1,535 |
1,523 |
$0.00 |
| 91318 |
|
33 |
32 |
$0.00 |
| 91305 |
|
177 |
175 |
$0.00 |
| 91319 |
|
19 |
19 |
$0.00 |
| 90657 |
|
184 |
179 |
$0.00 |
| 91315 |
|
14 |
14 |
$0.00 |
| 90710 |
|
428 |
428 |
$0.00 |
| 90633 |
|
1,730 |
1,730 |
$0.00 |
| 90672 |
|
38 |
38 |
$0.00 |
| 91321 |
|
75 |
75 |
$0.00 |
| 91312 |
|
52 |
52 |
$0.00 |
| 91320 |
|
13 |
13 |
$0.00 |
| 91300 |
|
17 |
16 |
$0.00 |