VALLEY RX LLC
NPI: 1104258045
· WAYNE, NJ 07470
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/02/2013
$192.00
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, RINKAL (PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 08/02/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
18 |
$0.00 |
| 2022 |
38 |
$0.00 |
| 2023 |
106 |
$192.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
131 |
128 |
$192.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 0031A |
|
18 |
18 |
$0.00 |