GRANT COUNTY
NPI: 1629009022
· JOHN DAY, OR 97845
· Family Nurse Practitioner
· NPI assigned 07/05/2006
$193K
Total Medicaid Paid
Provider Details
| Authorized Official | LINDSAY, KIMBERLY (PUBLIC HEALTH ADMIN) |
| NPI Enumeration Date | 07/05/2006 |
Related Entities
Other providers sharing the same authorized official: LINDSAY, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
416 |
$72K |
| 2019 |
206 |
$60K |
| 2020 |
74 |
$10K |
| 2021 |
273 |
$14K |
| 2022 |
48 |
$14K |
| 2023 |
50 |
$23K |
| 2024 |
18 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1017 |
Targeted case management, each 15 minutes |
759 |
551 |
$188K |
| 0012A |
|
72 |
71 |
$2K |
| 0011A |
|
99 |
89 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
96 |
$771.30 |
| 0064A |
|
17 |
16 |
$520.00 |
| 90687 |
|
14 |
14 |
$257.20 |
| 90686 |
|
14 |
12 |
$192.88 |