NPI: 1790831444 · SIDNEY, MT 59270 · Public Health or Welfare Agency · NPI assigned 01/26/2007
| Authorized Official | LAPAN, JUDTIH (ADMINISTRATOR) |
| NPI Enumeration Date | 01/26/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 854 | $17K |
| 2019 | 635 | $13K |
| 2020 | 581 | $10K |
| 2021 | 890 | $11K |
| 2022 | 338 | $6K |
| 2023 | 334 | $6K |
| 2024 | 241 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,638 | 1,537 | $31K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 525 | 496 | $13K |
| 90651 | 94 | 88 | $6K | |
| 90686 | 528 | 494 | $4K | |
| 90734 | 63 | 59 | $3K | |
| 0012A | 109 | 101 | $2K | |
| 0011A | 102 | 99 | $2K | |
| 90715 | 81 | 75 | $1K | |
| 0001A | 30 | 26 | $1K | |
| 0002A | 33 | 26 | $1K | |
| 0064A | 52 | 48 | $920.00 | |
| 90619 | 36 | 35 | $717.50 | |
| 91322 | 16 | 15 | $480.00 | |
| 90656 | 35 | 34 | $272.46 | |
| 90633 | 19 | 19 | $265.00 | |
| 90710 | 13 | 13 | $258.86 | |
| 90480 | 16 | 15 | $120.00 | |
| G0008 | Administration of influenza virus vaccine | 195 | 169 | $42.82 |
| 91300 | 66 | 51 | $0.00 | |
| 90670 | 26 | 25 | $0.00 | |
| 90662 | 13 | 13 | $0.00 | |
| 91301 | 163 | 135 | $0.00 | |
| 91306 | 20 | 17 | $0.00 |