NPI: 1891884086 · ALBANY, OR 97321 · Medical Specialty Clinic/Center · NPI assigned 10/12/2006
| Authorized Official | NOBLE, TOOD (ADMINISTRATOR) |
| NPI Enumeration Date | 10/12/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 302 | $2K |
| 2019 | 14 | $307.44 |
| 2020 | 22 | $395.28 |
| 2023 | 33 | $680.76 |
| 2024 | 30 | $614.88 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90715 | 131 | 124 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 193 | 149 | $1K |
| 90633 | 45 | 40 | $746.64 | |
| 90686 | 13 | 12 | $240.60 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 19 | 13 | $129.00 |