MEDIC PHARMACY INC OF EL DORADO
NPI: 1083608319
· EL DORADO, AR 71730
· Pharmacist
· NPI assigned 09/01/2005
$63.33
Total Medicaid Paid
Provider Details
| Authorized Official | HANRY, WILLIAM (PHARMACIST/OWNER) |
| NPI Enumeration Date | 09/01/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
282 |
$63.33 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
21 |
$24.97 |
| 90658 |
|
141 |
97 |
$22.91 |
| G0008 |
Administration of influenza virus vaccine |
109 |
89 |
$15.45 |