NPI: 1902035140
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 124 | $2K |
| 2019 | 56 | $204.40 |
| 2020 | 126 | $2K |
| 2021 | 518 | $11K |
| 2022 | 328 | $6K |
| 2023 | 15 | $188.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 557 | 524 | $6K |
| 0064A | 147 | 147 | $5K | |
| 90686 | 249 | 241 | $4K | |
| 0012A | 48 | 48 | $2K | |
| 90674 | 62 | 60 | $1K | |
| 0011A | 30 | 30 | $1K | |
| 0134A | 28 | 28 | $1K | |
| S9430 | Pharmacy compounding and dispensing services | 33 | 31 | $0.00 |
| 90620 | 13 | 13 | $0.00 |