NPI: 1881848703
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 69 | $1K |
| 2020 | 109 | $711.74 |
| 2021 | 360 | $9K |
| 2022 | 276 | $4K |
| 2023 | 28 | $290.87 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 585 | 555 | $6K |
| 90651 | 13 | 12 | $3K | |
| 0064A | 54 | 54 | $2K | |
| 0012A | 28 | 28 | $1K | |
| 0011A | 26 | 26 | $1K | |
| 90674 | 39 | 38 | $954.99 | |
| 90715 | 27 | 26 | $839.76 | |
| 0134A | 13 | 13 | $519.84 | |
| 90686 | 26 | 26 | $385.55 | |
| S9430 | Pharmacy compounding and dispensing services | 31 | 29 | $0.00 |