LAKE COUNTY
NPI: 1699867051
· POLSON, MT 59860
· Non-Surgical Family Planning Clinic/Center
· NPI assigned 09/29/2006
Provider Details
| Authorized Official | COLOMEDA, EMILY (HEALTH SERVICES DIRECTOR) |
| NPI Enumeration Date | 09/29/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
385 |
$8K |
| 2019 |
354 |
$7K |
| 2020 |
194 |
$2K |
| 2021 |
90 |
$2K |
| 2022 |
115 |
$2K |
| 2023 |
128 |
$3K |
| 2024 |
19 |
$378.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
638 |
565 |
$10K |
| 90651 |
|
75 |
64 |
$6K |
| 90734 |
|
74 |
64 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
138 |
86 |
$2K |
| 90715 |
|
111 |
99 |
$2K |
| 90686 |
|
223 |
198 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
24 |
$533.36 |