COUNTY OF PUTNAM OFFICE OF AUDITOR
NPI: 1700813920
· OTTAWA, OH 45875
· Public Health or Welfare Agency
· NPI assigned 06/26/2006
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | EICKHOLT, JACINTA (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 06/26/2006 |
Related Entities
Other providers sharing the same authorized official: EICKHOLT, JACINTA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,037 |
$18K |
| 2019 |
1,870 |
$18K |
| 2020 |
1,912 |
$18K |
| 2021 |
2,152 |
$23K |
| 2022 |
1,311 |
$14K |
| 2023 |
2,002 |
$13K |
| 2024 |
1,197 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,627 |
2,377 |
$82K |
| 90686 |
|
768 |
726 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
284 |
276 |
$5K |
| 90670 |
|
1,092 |
1,052 |
$4K |
| 0001A |
|
61 |
61 |
$3K |
| 90651 |
|
389 |
367 |
$3K |
| 90698 |
|
719 |
695 |
$2K |
| 0002A |
|
51 |
51 |
$2K |
| 90734 |
|
485 |
451 |
$2K |
| 90744 |
|
384 |
372 |
$1K |
| 90715 |
|
265 |
244 |
$1K |
| 90680 |
|
293 |
288 |
$1K |
| 90633 |
|
326 |
324 |
$1K |
| 90620 |
|
106 |
92 |
$782.40 |
| 0012A |
|
14 |
14 |
$397.46 |
| 90696 |
|
112 |
112 |
$360.00 |
| 90716 |
|
52 |
52 |
$260.00 |
| 90707 |
|
39 |
39 |
$257.66 |
| 0011A |
|
17 |
17 |
$254.10 |
| 90710 |
|
77 |
77 |
$220.00 |
| 90656 |
|
12 |
12 |
$113.94 |
| 90685 |
|
16 |
16 |
$65.00 |
| 90700 |
|
14 |
13 |
$10.00 |
| 90648 |
|
12 |
12 |
$10.00 |
| 91301 |
|
35 |
35 |
$0.06 |
| 91307 |
|
17 |
14 |
$0.01 |
| 90677 |
|
50 |
45 |
$0.00 |
| 91300 |
|
164 |
147 |
$0.00 |