NPI: 1629134218 · EL DORADO, KS 67042 · Public Health or Welfare Agency · NPI assigned 12/28/2006
| Authorized Official | POWERS, JANICE (ADMINISTRATOR) |
| NPI Enumeration Date | 12/28/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 570 | $13K |
| 2019 | 767 | $16K |
| 2020 | 499 | $8K |
| 2021 | 529 | $10K |
| 2022 | 709 | $13K |
| 2023 | 450 | $9K |
| 2024 | 345 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,904 | 1,854 | $36K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,024 | 1,002 | $34K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 154 | 143 | $4K |
| 96161 | 101 | 100 | $2K | |
| 90686 | 253 | 250 | $446.84 | |
| 90656 | 15 | 15 | $64.50 | |
| 90715 | 69 | 69 | $0.00 | |
| 90734 | 166 | 164 | $0.00 | |
| 90633 | 25 | 25 | $0.00 | |
| 90710 | 12 | 12 | $0.00 | |
| 90670 | 13 | 13 | $0.00 | |
| 90647 | 13 | 12 | $0.00 | |
| 90651 | 108 | 106 | $0.00 | |
| 90696 | 12 | 12 | $0.00 |