SHAVER HOLDINGS INC
NPI: 1083720494
· POCATELLO, ID 83201
· Compounding Pharmacy
· NPI assigned 08/21/2006
$700.00
Total Medicaid Paid
Provider Details
| Authorized Official | SHAVER, LORRI (OWNER) |
| NPI Enumeration Date | 08/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$0.00 |
| 2021 |
14 |
$700.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$700.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
12 |
12 |
$0.00 |