NPI: 1699413187 · SAINT CLOUD, MN 56301 · Family Medicine Physician · NPI assigned 05/24/2022
Authorized official KENEFICK, BRETT controls 20+ related entities in our dataset. Read more
| Authorized Official | KENEFICK, BRETT (PRESIDENT) |
| Parent Organization | VAXCARE CORPORATION |
| NPI Enumeration Date | 05/24/2022 |
Other providers sharing the same authorized official: KENEFICK, BRETT
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 507 | $7K |
| 2024 | 642 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 599 | 507 | $8K |
| 90715 | 210 | 195 | $7K | |
| 90686 | 168 | 131 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 61 | 57 | $2K |
| 90656 | 64 | 64 | $1K | |
| 90480 | 30 | 26 | $911.03 | |
| 90682 | 17 | 13 | $723.50 |