NPI: 1609996974 · HARRISONVILLE, MO 64701 · State or Local Public Health Clinic/Center · NPI assigned 03/30/2007
| Authorized Official | STAFFORD, KELSIE (CLINIC MANAGER) |
| NPI Enumeration Date | 03/30/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 137 | $1K |
| 2021 | 75 | $615.25 |
| 2022 | 167 | $237.78 |
| 2023 | 320 | $4K |
| 2024 | 283 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90715 | 135 | 133 | $3K | |
| 90710 | 79 | 78 | $2K | |
| 90619 | 156 | 156 | $1K | |
| 90696 | 38 | 38 | $1K | |
| 90734 | 241 | 235 | $1K | |
| 90651 | 86 | 84 | $626.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 186 | 180 | $568.03 |
| 90656 | 20 | 20 | $161.40 | |
| 90633 | 14 | 14 | $112.98 | |
| 90686 | 13 | 13 | $104.91 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 14 | 14 | $0.00 |