WELLS BROS. PHARMACY SERVICES, LLC
NPI: 1053896399
· BLOOMFIELD, IA 52537
· Clinic/Center
· NPI assigned 10/02/2018
Provider Details
| Authorized Official | WELLS, MYLO (OWNER/PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 10/02/2018 |
Related Entities
Other providers sharing the same authorized official: WELLS, MYLO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
232 |
$6K |
| 2022 |
87 |
$315.07 |
| 2023 |
147 |
$2K |
| 2024 |
12 |
$376.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
78 |
75 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
101 |
$2K |
| 0002A |
|
33 |
33 |
$1K |
| 0012A |
|
23 |
23 |
$741.93 |
| 0011A |
|
32 |
28 |
$463.50 |
| 90686 |
|
14 |
12 |
$223.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
99 |
$208.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
27 |
$0.00 |
| 90694 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |