NPI: 1578776589 · LYNDON, KS 66451 · Community Health Clinic/Center · NPI assigned 05/07/2007
| Authorized Official | GRAY, ANNE (ADMINISTRATOR) |
| NPI Enumeration Date | 05/07/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 623 | $14K |
| 2019 | 551 | $9K |
| 2020 | 327 | $6K |
| 2021 | 319 | $5K |
| 2022 | 226 | $5K |
| 2023 | 130 | $2K |
| 2024 | 46 | $141.82 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90472 | Immunization administration, each additional vaccine (list separately) | 493 | 491 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,101 | 1,088 | $20K |
| 90686 | 284 | 283 | $531.29 | |
| 0012A | 26 | 26 | $330.00 | |
| 91301 | 85 | 81 | $0.00 | |
| 90696 | 28 | 28 | $0.00 | |
| 90647 | 12 | 12 | $0.00 | |
| 0011A | 14 | 14 | $0.00 | |
| 90649 | 56 | 56 | $0.00 | |
| 90670 | 28 | 28 | $0.00 | |
| 90710 | 31 | 31 | $0.00 | |
| 90734 | 39 | 39 | $0.00 | |
| 90633 | 13 | 13 | $0.00 | |
| 90715 | 12 | 12 | $0.00 |