Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COUNTY OF OTTAWA

NPI: 1669514303 · PORT CLINTON, OH 43452 · Primary Care Clinic/Center · NPI assigned 02/12/2007

$2K
Total Medicaid Paid
170
Total Claims
133
Beneficiaries
5
Codes Billed
2018-02
First Month
2020-08
Last Month

Provider Details

Authorized OfficialOSBORN, NANCY (HEALTH COMMISSIONER)
NPI Enumeration Date02/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $928.80
2019 35 $321.03
2020 30 $527.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 60 54 $990.70
90472 Immunization administration, each additional vaccine (list separately) 63 39 $465.50
90460 Immunization administration through 18 years of age via any route, first or only component 21 14 $300.00
90686 14 14 $21.03
90670 12 12 $0.00