NPI: 1831234319 · CELINA, OH 45822 · Public Health or Welfare Agency · NPI assigned 02/21/2007
| Authorized Official | MENCHNOFER, JASON (INTERIM ADMINISTRATOR) |
| NPI Enumeration Date | 02/21/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,483 | $48K |
| 2019 | 5,804 | $51K |
| 2020 | 4,763 | $46K |
| 2021 | 5,035 | $50K |
| 2022 | 5,040 | $48K |
| 2023 | 6,053 | $51K |
| 2024 | 3,889 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16,753 | 5,494 | $236K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,187 | 2,112 | $31K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,306 | 1,258 | $30K |
| 90686 | 2,479 | 2,391 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 293 | 290 | $4K |
| 90651 | 396 | 390 | $3K | |
| 0012A | 56 | 56 | $2K | |
| 90715 | 337 | 328 | $2K | |
| 0011A | 68 | 67 | $2K | |
| 0001A | 15 | 15 | $2K | |
| 90716 | 1,074 | 1,020 | $1K | |
| 90670 | 2,481 | 2,381 | $1K | |
| 90707 | 1,043 | 992 | $1K | |
| 90698 | 2,119 | 2,006 | $875.00 | |
| 90677 | 339 | 314 | $870.42 | |
| 90633 | 1,516 | 1,457 | $810.00 | |
| 90744 | 1,332 | 1,272 | $695.00 | |
| 0124A | 15 | 15 | $591.92 | |
| 90680 | 1,100 | 1,040 | $430.00 | |
| 90656 | 100 | 97 | $357.60 | |
| 90619 | 230 | 227 | $303.70 | |
| 90685 | 76 | 74 | $290.00 | |
| 90734 | 309 | 305 | $190.00 | |
| 90700 | 136 | 132 | $145.00 | |
| 91301 | 137 | 134 | $0.02 | |
| 91300 | 59 | 58 | $0.00 | |
| 91312 | 15 | 15 | $0.00 | |
| 90621 | 12 | 12 | $0.00 | |
| 90648 | 40 | 39 | $0.00 | |
| 90696 | 44 | 44 | $0.00 |