COUNTY OF PACIFIC
NPI: 1508081217
· SOUTH BEND, WA 98586
· Public Health or Welfare Agency
· NPI assigned 04/16/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MINKS, GRACIE (DEPUTY DIRECTOR) |
| NPI Enumeration Date | 04/16/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
87 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90715 |
|
41 |
33 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
15 |
$0.00 |