COUNTY OF CHEYENNE
NPI: 1386706505
· CHEYENNE WELLS, CO 80810
· Public Health or Welfare Agency
· NPI assigned 12/14/2006
Provider Details
| Authorized Official | ROTH, LINDA (ADMINISTRATOR) |
| NPI Enumeration Date | 12/14/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
127 |
$2K |
| 2019 |
90 |
$1K |
| 2020 |
32 |
$115.62 |
| 2022 |
32 |
$252.98 |
| 2023 |
35 |
$500.21 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
171 |
156 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$428.90 |
| 90688 |
|
27 |
27 |
$405.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$250.51 |
| 90686 |
|
62 |
59 |
$65.46 |
| 90685 |
|
14 |
13 |
$0.00 |