DEPARTMENT OF STATE HEALTH SERVICES
NPI: 1578639647
· LUBBOCK, TX 79424
· State or Local Public Health Clinic/Center
· NPI assigned 11/28/2006
Provider Details
| Authorized Official | WILSON, BARRY (DEPUTY REGIONAL DIRECTOR) |
| NPI Enumeration Date | 11/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
114 |
$618.69 |
| 2022 |
74 |
$243.86 |
| 2023 |
169 |
$402.89 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
148 |
$652.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
144 |
70 |
$613.36 |
| 90688 |
|
14 |
14 |
$0.04 |
| 90686 |
|
12 |
12 |
$0.03 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |