TRINITY REGIONAL MEDICAL CENTER
NPI: 1578089991
· FORT DODGE, IA 50501
· Community/Retail Pharmacy
· NPI assigned 08/17/2017
Provider Details
| Authorized Official | MARSH, SARAH (CHIEF FINANCIAL OFFICER) |
| Parent Organization | TRINITY REGIONAL MEDICAL CENTER |
| NPI Enumeration Date | 08/17/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
68 |
$704.54 |
| 2023 |
30 |
$338.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
49 |
49 |
$780.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
49 |
$262.64 |