MAXVAX LLC
NPI: 1508488263
· OCALA, FL 34470
· Pediatrics Physician
· NPI assigned 05/15/2020
$399K
Total Medicaid Paid
Provider Details
| Authorized Official | DUKE, LIBERTY (PRESIDENT) |
| NPI Enumeration Date | 05/15/2020 |
Related Entities
Other providers sharing the same authorized official: DUKE, LIBERTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
934 |
$363.59 |
| 2021 |
8,552 |
$25K |
| 2022 |
25,749 |
$194K |
| 2023 |
14,579 |
$123K |
| 2024 |
6,160 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29,725 |
22,321 |
$388K |
| 90674 |
|
6,932 |
6,210 |
$9K |
| 90686 |
|
19,037 |
12,735 |
$994.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
28 |
$512.63 |
| 90756 |
|
15 |
15 |
$425.55 |
| 90682 |
|
36 |
30 |
$105.00 |
| 90688 |
|
68 |
62 |
$0.00 |
| 90461 |
|
122 |
121 |
$0.00 |