NEVADA STATE HEALTH DIVISION/FAR NURSIN
NPI: 1629200746
· WINNEMUCCA, NV 89445
· Nursing Care Agency
· NPI assigned 08/24/2009
$608.40
Total Medicaid Paid
Provider Details
| Authorized Official | WHERRY, MARY (DIRECTOR OF CLINICAL SERVICES, FAR/) |
| NPI Enumeration Date | 08/24/2009 |
Related Entities
Other providers sharing the same authorized official: WHERRY, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
61 |
$382.20 |
| 2019 |
20 |
$85.80 |
| 2020 |
32 |
$140.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
82 |
$608.40 |
| 90686 |
|
14 |
14 |
$0.00 |