CITY OF SAN ANGELO
NPI: 1720091374
· SAN ANGELO, TX 76903
· Public Health or Welfare Agency
· NPI assigned 08/14/2006
$107.03
Total Medicaid Paid
Provider Details
| Authorized Official | LOVING, STEPHEN (DIRECTOR) |
| NPI Enumeration Date | 08/14/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
15 |
$107.03 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$107.03 |