COUNTY OF RANSOM
NPI: 1558562975
· LISBON, ND 58054
· Public Health or Welfare Agency
· NPI assigned 05/31/2007
Provider Details
| Authorized Official | WELTON, BRENNA (ADMINISTRATOR) |
| NPI Enumeration Date | 05/31/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
193 |
$2K |
| 2019 |
149 |
$2K |
| 2020 |
179 |
$2K |
| 2021 |
188 |
$2K |
| 2022 |
91 |
$1K |
| 2023 |
90 |
$1K |
| 2024 |
150 |
$649.49 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
465 |
432 |
$7K |
| 90686 |
|
282 |
265 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
103 |
54 |
$1K |
| 91322 |
|
30 |
29 |
$436.85 |
| 0064A |
|
17 |
17 |
$395.86 |
| 0012A |
|
13 |
13 |
$371.05 |
| 0011A |
|
12 |
12 |
$241.25 |
| 90480 |
|
33 |
32 |
$90.00 |
| 90656 |
|
20 |
20 |
$42.42 |
| 91306 |
|
16 |
16 |
$0.00 |
| 91301 |
|
36 |
35 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |