NPI: 1992342562 · ANGOLA, IN 46703 · Public Health or Welfare Agency · NPI assigned 12/03/2019
| Authorized Official | VAN EE, ALICIA (ADMINISTRATOR) |
| Parent Organization | STEUBEN COUNTY AUDITOR |
| NPI Enumeration Date | 12/03/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 792 | $10K |
| 2021 | 1,199 | $17K |
| 2022 | 766 | $8K |
| 2023 | 834 | $6K |
| 2024 | 553 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,216 | 997 | $22K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,035 | 1,610 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 43 | 40 | $405.00 |
| 90685 | 409 | 395 | $0.00 | |
| 90633 | 80 | 79 | $0.00 | |
| 90670 | 93 | 90 | $0.00 | |
| 90648 | 14 | 14 | $0.00 | |
| 90734 | 83 | 79 | $0.00 | |
| 90710 | 31 | 25 | $0.00 | |
| 90715 | 29 | 27 | $0.00 | |
| 90651 | 70 | 69 | $0.00 | |
| 90620 | 12 | 12 | $0.00 | |
| 90698 | 12 | 12 | $0.00 | |
| 90696 | 17 | 13 | $0.00 |