NPI: 1518986660 · WATERFORD, CT 06385 · Clinic/Center · NPI assigned 07/19/2006
Authorized official BAXTER, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | BAXTER, LISA (CHIEF FINANCIAL AND ADMIN OFFICER) |
| NPI Enumeration Date | 07/19/2006 |
Other providers sharing the same authorized official: BAXTER, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24 | $191.62 |
| 2019 | 31 | $0.00 |
| 2021 | 66 | $544.44 |
| 2023 | 63 | $330.98 |
| 2024 | 79 | $540.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 45 | 43 | $858.54 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 45 | 45 | $749.06 |
| 90661 | 51 | 51 | $0.00 | |
| 90686 | 78 | 74 | $0.00 | |
| 90674 | 44 | 43 | $0.00 |