NPI: 1831243856 · EUREKA, KS 67045 · Public Health or Welfare Agency · NPI assigned 01/23/2007
| Authorized Official | HANCOCK, MARY (OFFICE MANAGER) |
| NPI Enumeration Date | 01/23/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 133 | $1K |
| 2019 | 201 | $2K |
| 2020 | 260 | $2K |
| 2021 | 126 | $980.00 |
| 2022 | 120 | $2K |
| 2023 | 64 | $790.14 |
| 2024 | 36 | $344.42 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 470 | 421 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 40 | 40 | $1K |
| 90682 | 26 | 25 | $370.48 | |
| 90686 | 281 | 274 | $76.12 | |
| G0008 | Administration of influenza virus vaccine | 47 | 47 | $0.00 |
| 90656 | 17 | 16 | $0.00 | |
| 90715 | 45 | 42 | $0.00 | |
| 90662 | 14 | 14 | $0.00 |