COUNTY OF LOUISA
NPI: 1962480962
· WAPELLO, IA 52653
· Home Health Agency
· NPI assigned 01/09/2006
$952.11
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, BRANDY (MANAGER) |
| NPI Enumeration Date | 01/09/2006 |
Related Entities
Other providers sharing the same authorized official: SMITH, BRANDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
48 |
$236.65 |
| 2021 |
84 |
$425.09 |
| 2022 |
92 |
$290.37 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
96 |
89 |
$417.35 |
| 90686 |
|
66 |
61 |
$376.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
21 |
$158.06 |
| 90715 |
|
16 |
15 |
$0.00 |
| 90734 |
|
24 |
22 |
$0.00 |