NPI: 1427235654
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $0.00 |
| 2019 | 44 | $0.00 |
| 2020 | 34 | $504.20 |
| 2021 | 239 | $4K |
| 2022 | 57 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 192 | 171 | $2K |
| 0064A | 46 | 46 | $2K | |
| 90686 | 59 | 56 | $1K | |
| 0012A | 20 | 20 | $786.24 | |
| 0011A | 13 | 13 | $524.16 | |
| S9430 | Pharmacy compounding and dispensing services | 59 | 50 | $0.00 |