COUNTY OF SUMMIT
NPI: 1629159637
· PARK CITY, UT 84060
· Public Health or Welfare Agency
· NPI assigned 10/17/2006
Provider Details
| Authorized Official | MOSS, DEREK (NURSING DIRECTOR) |
| NPI Enumeration Date | 10/17/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
251 |
$3K |
| 2019 |
145 |
$2K |
| 2020 |
87 |
$711.69 |
| 2021 |
116 |
$3K |
| 2023 |
12 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
277 |
276 |
$5K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
12 |
12 |
$4K |
| 0012A |
|
48 |
48 |
$1K |
| 0011A |
|
53 |
51 |
$1K |
| 0071A |
|
15 |
15 |
$520.00 |
| 90686 |
|
152 |
152 |
$244.95 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90715 |
|
18 |
18 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
21 |
$0.00 |