COUNTY OF CARBON
NPI: 1942968300
· RED LODGE, MT 59068
· State or Local Public Health Clinic/Center
· NPI assigned 12/02/2021
$86.07
Total Medicaid Paid
Provider Details
| Authorized Official | SWAN, CINDY (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 12/02/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
56 |
$86.07 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
17 |
$50.85 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
23 |
12 |
$35.22 |