SOUTHEASTERN DISTRICT HEALTH DEPARTMENT

Public Health or Welfare Agency · POCATELLO, ID

Organization Active NPI 1750526216

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241,1353,811$338,990$300,348$300,262
20231,3504,280$320,807$294,359$294,321
20221,2842,741$176,781$150,711$150,711

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine956$30$30
90662Influenza vaccine split virus, preservative free913$82$82
91320Sarscv2 vac 30mcg trs-suc im800$150$150
90480Admn sarscov2 vacc 1 dose799$39$39
G0009Administration of pneumococcal vaccine136$30$30
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use88$282$282
90684Pcv21 vaccine im46$308$308
90656Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage35$22$22
M0201Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home17$35$35

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Public Health or Welfare Agency251K00000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.