Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › CANTON › ST LAWRENCE COUNTY

ST LAWRENCE COUNTY

NPI: 1861551822 · CANTON, NY 13617 · Multi-Specialty Clinic/Center · NPI assigned 12/06/2006

$984.29
Total Medicaid Paid
86
Total Claims
85
Beneficiaries
3
Codes Billed
2018-09
First Month
2023-09
Last Month

Provider Details

Authorized OfficialBRIDGES, DEBRA (FISCAL MANAGER)
Parent OrganizationST LAWRENCE COUNTY
NPI Enumeration Date12/06/2006

Related Entities

Other providers sharing the same authorized official: BRIDGES, DEBRA

ProviderCityStateTotal Paid
ST LAWRENCE COUNTY CANTON NY $1.38M
ST LAWRENCE COUNTY CANTON NY $115K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19 $562.05
2020 53 $72.24
2023 14 $350.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 33 32 $912.05
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34 34 $72.24
90734 19 19 $0.00