O CONNELL PHARMACY LTD
NPI: 1063781920
· SUN PRAIRIE, WI 53590
· Long Term Care Pharmacy
· NPI assigned 12/22/2011
$345K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: O'CONNELL, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$331.50 |
| 2021 |
314 |
$4K |
| 2023 |
65 |
$0.00 |
| 2024 |
10,676 |
$341K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9150 |
Non-prescription drugs |
10,676 |
1,406 |
$341K |
| 0002A |
|
55 |
55 |
$2K |
| 90686 |
|
52 |
52 |
$1K |
| 0001A |
|
66 |
66 |
$982.52 |
| 0004A |
|
19 |
19 |
$610.56 |
| 91300 |
|
147 |
138 |
$0.20 |
| 90480 |
|
17 |
17 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$0.00 |
| 91320 |
|
17 |
17 |
$0.00 |