SARATOGA COUNTY
NPI: 1679691745
· BALLSTON SPA, NY 12020
· State or Local Public Health Clinic/Center
· NPI assigned 03/27/2007
$990.64
Total Medicaid Paid
Provider Details
| Authorized Official | KUHLES, DANIEL (COMMISSIONER) |
| NPI Enumeration Date | 03/27/2007 |
Related Entities
Other providers sharing the same authorized official: KUHLES, DANIEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
14 |
$476.43 |
| 2023 |
20 |
$514.21 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
29 |
$990.64 |