KEYSTONE HEALTH LLC
NPI: 1780360297
· HEMINGFORD, NE 69348
· Family Medicine Physician
· NPI assigned 06/27/2023
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | RANDOLPH, DAVID (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 06/27/2023 |
Related Entities
Other providers sharing the same authorized official: RANDOLPH, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
31 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |
| 90653 |
|
13 |
13 |
$0.00 |