PAULS PHARMACY INC
NPI: 1083615603
· EVANSVILLE, IN 47712
· Pharmacy
· NPI assigned 08/04/2005
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MAYER, JACOB (PRESIDENT, OWNER) |
| NPI Enumeration Date | 08/04/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
135 |
$0.00 |
| 2021 |
83 |
$0.00 |
| 2022 |
175 |
$0.00 |
| 2023 |
71 |
$0.00 |
| 2024 |
134 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
66 |
66 |
$0.00 |
| 90688 |
|
160 |
159 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
169 |
160 |
$0.00 |
| 0134A |
|
17 |
17 |
$0.00 |
| 90656 |
|
31 |
31 |
$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 |
22 |
15 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
13 |
13 |
$0.00 |
| 90674 |
|
36 |
36 |
$0.00 |
| 90480 |
|
25 |
18 |
$0.00 |
| 91306 |
|
34 |
17 |
$0.00 |
| 91320 |
|
25 |
18 |
$0.00 |