SAN JUAN COUNTY HEALTH & COMMUNITY SERVICES
NPI: 1891995114
· FRIDAY HARBOR, WA 98250
· Public Health or Welfare Agency
· NPI assigned 07/24/2007
$995.45
Total Medicaid Paid
Provider Details
| Authorized Official | LEGATE, CAROL (OFFICE MANAGER) |
| NPI Enumeration Date | 07/24/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
254 |
$995.45 |
| 2019 |
33 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
102 |
95 |
$995.45 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
138 |
60 |
$0.00 |
| 90461 |
|
47 |
12 |
$0.00 |