SOUTHWEST HEALTH SYSTEM, INC.
NPI: 1386917862
· CORTEZ, CO 81321
· Pharmacy
· NPI assigned 02/15/2012
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | THEINE, JOSEPH (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | SOUTHWEST HEALTH SYSTEM, INC. |
| NPI Enumeration Date | 02/15/2012 |
Related Entities
Other providers sharing the same authorized official: THEINE, JOSEPH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
280 |
$0.00 |
| 2023 |
509 |
$0.00 |
| 2024 |
434 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
143 |
142 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
722 |
599 |
$0.00 |
| 90480 |
|
122 |
122 |
$0.00 |
| 90674 |
|
53 |
53 |
$0.00 |
| 90656 |
|
56 |
56 |
$0.00 |
| 91322 |
|
54 |
54 |
$0.00 |
| 90679 |
|
19 |
19 |
$0.00 |
| 91320 |
|
39 |
39 |
$0.00 |
| 0124A |
|
15 |
13 |
$0.00 |