HACKENSACK MERIDIAN AMBULATORY CARE, INC.
NPI: 1881238673
· EATONTOWN, NJ 07724
· 3336L0003X
$382.20
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
45 |
$40.00 |
| 2024 |
153 |
$342.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91320 |
|
43 |
43 |
$262.20 |
| 90480 |
|
83 |
83 |
$120.00 |
| 91322 |
|
20 |
20 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
26 |
26 |
$0.00 |
| 90677 |
|
26 |
26 |
$0.00 |