WEST HARTFORD-BLOOMFIELD HEALTH DISTRICT
NPI: 1669656435
· BLOOMFIELD, CT 06002
· Public Health or Welfare Agency
· NPI assigned 12/28/2007
$638.10
Total Medicaid Paid
Provider Details
| Authorized Official | HULEATT, STEVEN (DIRECTOR OF HEALTH) |
| NPI Enumeration Date | 12/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
13 |
$236.72 |
| 2024 |
32 |
$401.38 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
18 |
$243.88 |
| 90686 |
|
13 |
12 |
$236.72 |
| 90656 |
|
13 |
13 |
$157.50 |