LAKE COUNTY GOVERNMENT/HEALTH DEPARTMENT
NPI: 1922792340
· CROWN POINT, IN 46307
· Public Health & General Preventive Medicine Physician
· NPI assigned 06/07/2023
$420.00
Total Medicaid Paid
Provider Details
| Authorized Official | KUNDICH, MARIANNE (NURSING SUPERVISOR) |
| NPI Enumeration Date | 06/07/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
29 |
$420.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$225.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$195.00 |