COUNTY OF TUOLUMNE
NPI: 1639271935
· SONORA, CA 95370
· Public Health or Welfare Agency
· NPI assigned 09/05/2006
$252.01
Total Medicaid Paid
Provider Details
| Authorized Official | HOCKETT, ANNIE (HEALTH & HUMAN SERVICES AGENCY DIRE) |
| NPI Enumeration Date | 09/05/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22 |
$117.01 |
| 2019 |
15 |
$135.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$135.00 |
| 90715 |
|
22 |
21 |
$117.01 |