NPI: 1568635803 · AUSTIN, TX 78752 · Community Health Clinic/Center · NPI assigned 04/08/2008
| Authorized Official | HERNANDEZ, JESSE (CUSTOMER SERVICE REPRESENTATIVE SR.) |
| NPI Enumeration Date | 04/08/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 263 | $2K |
| 2019 | 470 | $3K |
| 2020 | 429 | $2K |
| 2021 | 2,435 | $14K |
| 2022 | 7,393 | $42K |
| 2023 | 3,016 | $23K |
| 2024 | 1,357 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90472 | Immunization administration, each additional vaccine (list separately) | 5,752 | 2,757 | $49K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4,807 | 4,739 | $48K |
| 90619 | 114 | 114 | $0.09 | |
| 90715 | 401 | 395 | $0.07 | |
| 90656 | 145 | 145 | $0.01 | |
| 90714 | 311 | 302 | $0.01 | |
| 90713 | 448 | 446 | $0.01 | |
| 90744 | 347 | 343 | $0.00 | |
| 90716 | 210 | 207 | $0.00 | |
| 90651 | 489 | 482 | $0.00 | |
| 90686 | 707 | 705 | $0.00 | |
| 90696 | 49 | 49 | $0.00 | |
| 90700 | 218 | 215 | $0.00 | |
| 90633 | 828 | 816 | $0.00 | |
| 90670 | 38 | 38 | $0.00 | |
| 90734 | 257 | 250 | $0.00 | |
| 90710 | 226 | 220 | $0.00 | |
| 90707 | 16 | 16 | $0.00 |