JEFFERSON COUNTY BOARD OF HEALTH
NPI: 1598108359
· KEARNEYSVILLE, WV 25430
· Licensed Practical Nurse
· NPI assigned 04/11/2013
Provider Details
| Authorized Official | REIDY, TERRENCE (HEALTH OFFICER) |
| NPI Enumeration Date | 04/11/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
186 |
$2K |
| 2019 |
30 |
$382.49 |
| 2020 |
38 |
$288.00 |
| 2021 |
51 |
$580.12 |
| 2022 |
365 |
$2K |
| 2023 |
166 |
$1K |
| 2024 |
46 |
$144.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
380 |
342 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
152 |
126 |
$2K |
| 0072A |
|
15 |
14 |
$520.00 |
| 90734 |
|
143 |
135 |
$203.31 |
| 0004A |
|
22 |
22 |
$200.00 |
| 90715 |
|
57 |
54 |
$84.60 |
| 90686 |
|
19 |
16 |
$63.00 |
| 91307 |
|
36 |
30 |
$0.20 |
| 91300 |
|
44 |
40 |
$0.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$0.00 |