VALLEY VISTA CARE CORPORATION
NPI: 1770599409
· ST MARIES, ID 83861
· 314000000X
$324.54
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
304 |
$0.00 |
| 2019 |
551 |
$0.00 |
| 2020 |
85 |
$324.54 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
464 |
86 |
$324.54 |
| G0008 |
Admin influenza virus vac |
28 |
28 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
14 |
14 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
28 |
28 |
$0.00 |
| 97530 |
|
222 |
71 |
$0.00 |
| 97116 |
|
117 |
26 |
$0.00 |
| G8979 |
Mobility goal status |
38 |
32 |
$0.00 |
| G8978 |
Mobility current status |
29 |
27 |
$0.00 |