CARL D ACQUAVIVA
NPI: 1013928514
· PALM BAY, FL 32905
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/10/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | ACQUAVIVA, CARL (OWNER PHARMACIST) |
| NPI Enumeration Date | 08/10/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$0.00 |
| 2019 |
19 |
$0.00 |
| 2020 |
52 |
$0.00 |
| 2021 |
53 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0003A |
|
21 |
19 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
75 |
67 |
$0.00 |
| 90694 |
|
22 |
18 |
$0.00 |
| M0201 |
Administration 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 home |
19 |
18 |
$0.00 |