COMMUNITY HEALTH ASSOCIATION OF SPOKANE
NPI: 1396503058
· SPOKANE, WA 99204
· Pediatrics Physician
· NPI assigned 03/07/2024
$866.42
Total Medicaid Paid
Provider Details
| Authorized Official | HALVORSON, NATHAN (CORPORATE COMPLIANCE OFFICER) |
| NPI Enumeration Date | 03/07/2024 |
Related Entities
Other providers sharing the same authorized official: HALVORSON, NATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
27 |
$866.42 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$748.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$118.12 |