NPI: 1891851697 · LEWISTOWN, MT 59457 · Public Health or Welfare Agency · NPI assigned 12/28/2006
| Authorized Official | JENSEN, JOHN (BOARD CHAIRMAN) |
| NPI Enumeration Date | 12/28/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 574 | $9K |
| 2019 | 594 | $11K |
| 2020 | 180 | $1K |
| 2021 | 376 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 607 | 590 | $8K |
| 90651 | 84 | 84 | $5K | |
| 90734 | 66 | 65 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 104 | 103 | $2K |
| 90686 | 384 | 373 | $2K | |
| 90620 | 31 | 31 | $2K | |
| 90715 | 25 | 24 | $309.08 | |
| 90633 | 63 | 60 | $248.00 | |
| 0012A | 69 | 62 | $148.39 | |
| 0011A | 64 | 59 | $56.94 | |
| 0013A | 15 | 15 | $40.00 | |
| 91301 | 156 | 141 | $0.00 | |
| 90685 | 56 | 56 | $0.00 |