STANDEFER PHARMACY
NPI: 1073671608
· PIKEVILLE, TN 37367
· Durable Medical Equipment & Medical Supplies
· NPI assigned 12/05/2006
$81.00
Total Medicaid Paid
Provider Details
| Authorized Official | STANDEFER, FRED (PARTNER AND PHARMACIST) |
| NPI Enumeration Date | 12/05/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$15.19 |
| 2019 |
12 |
$65.81 |
| 2022 |
31 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
36 |
36 |
$81.00 |
| 90694 |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |