PHARMACA INTEGRATIVE PHARMACY, INC.
NPI: 1124187224
· BOULDER, CO 80305
· 3336C0003X
$113.56
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
699 |
$113.56 |
| 2022 |
141 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
65 |
55 |
$113.56 |
| 91305 |
|
50 |
13 |
$0.00 |
| 0001A |
|
89 |
83 |
$0.00 |
| 91300 |
|
440 |
288 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 0004A |
|
172 |
89 |
$0.00 |