LOUISA COUNTY
NPI: 1790108850
· WAPELLO, IA 52653
· Public Health or Welfare Agency
· NPI assigned 01/27/2014
$590.46
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
51 |
$155.65 |
| 2019 |
106 |
$379.85 |
| 2024 |
25 |
$54.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
105 |
$433.48 |
| 90686 |
|
46 |
43 |
$100.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$56.98 |
| 90734 |
|
12 |
12 |
$0.00 |