PROWERS COUNTY NURSING
NPI: 1700861606
· LAMAR, CO 81052
· Public Health or Welfare Agency
· NPI assigned 12/13/2005
$137K
Total Medicaid Paid
Provider Details
| Authorized Official | IDLER, JO LYNN (DIRECTOR OF BUSINESS OPERATIONS) |
| NPI Enumeration Date | 12/13/2005 |
Related Entities
Other providers sharing the same authorized official: IDLER, JO LYNN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,073 |
$22K |
| 2019 |
1,723 |
$20K |
| 2020 |
1,472 |
$24K |
| 2021 |
941 |
$13K |
| 2022 |
957 |
$12K |
| 2023 |
1,952 |
$29K |
| 2024 |
1,002 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,955 |
3,793 |
$70K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,477 |
1,068 |
$27K |
| 99401 |
|
678 |
461 |
$20K |
| 90686 |
|
1,666 |
1,583 |
$8K |
| 90651 |
|
199 |
177 |
$7K |
| 90734 |
|
110 |
98 |
$1K |
| 90656 |
|
208 |
200 |
$1K |
| 90688 |
|
370 |
368 |
$1K |
| 91322 |
|
12 |
12 |
$1K |
| 90480 |
|
19 |
17 |
$988.32 |
| 90715 |
|
68 |
55 |
$689.04 |
| 90677 |
|
14 |
14 |
$313.77 |
| 90633 |
|
74 |
73 |
$90.26 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |
| 90687 |
|
96 |
96 |
$0.00 |
| 90670 |
|
125 |
123 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |