IMMUTECH-MIDATLANTIC, LLC
NPI: 1740874627
· WINDSOR MILL, MD 21244
· 363LF0000X
$618.49
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
116 |
$200.00 |
| 2022 |
93 |
$418.49 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90694 |
|
19 |
18 |
$398.58 |
| 0003A |
|
41 |
35 |
$200.00 |
| 90688 |
|
59 |
58 |
$19.91 |
| G0008 |
Admin influenza virus vac |
90 |
87 |
$0.00 |