DEPARTMENT OF STATE HEALTH SERVICES
NPI: 1639245764
· TEMPLE, TX 76504
· State or Local Public Health Clinic/Center
· NPI assigned 11/28/2006
Provider Details
| Authorized Official | BETZ, THOMAS (DEPUTY REGIONAL DIRECTOR) |
| NPI Enumeration Date | 11/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
68 |
$423.36 |
| 2019 |
89 |
$603.68 |
| 2020 |
43 |
$147.03 |
| 2021 |
605 |
$2K |
| 2022 |
922 |
$1K |
| 2023 |
800 |
$1K |
| 2024 |
27 |
$97.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,014 |
949 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
822 |
448 |
$3K |
| 90686 |
|
78 |
78 |
$0.02 |
| 90734 |
|
190 |
182 |
$0.01 |
| 90651 |
|
98 |
87 |
$0.01 |
| 90715 |
|
137 |
136 |
$0.00 |
| 90710 |
|
77 |
76 |
$0.00 |
| 90633 |
|
86 |
84 |
$0.00 |
| 90696 |
|
52 |
52 |
$0.00 |