LIFELINE INSTITUTIONAL PHARMACY
NPI: 1114117694
· HAMILTON, OH 45015
· 3336L0003X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
207 |
$0.00 |
| 2022 |
239 |
$0.00 |
| 2023 |
247 |
$0.00 |
| 2024 |
121 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 91320 |
|
185 |
185 |
$0.00 |
| 0004A |
|
15 |
15 |
$0.00 |
| 0124A |
|
135 |
135 |
$0.00 |
| 0054A |
|
137 |
137 |
$0.00 |
| 0013A |
|
16 |
16 |
$0.00 |
| 0003A |
|
176 |
176 |
$0.00 |
| 888888 |
|
83 |
83 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
24 |
24 |
$0.00 |
| 90677 |
|
43 |
42 |
$0.00 |