HOT SPRINGS PHARMACY, LLC
NPI: 1124313267
· HOT SPRINGS, AR 71913
· Specialty Pharmacy
· NPI assigned 06/16/2011
$400.00
Total Medicaid Paid
Provider Details
| Authorized Official | SPIVEY, ADUSTON (PIC, MANAGING PARTNER) |
| NPI Enumeration Date | 06/16/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
184 |
$400.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
43 |
39 |
$400.00 |
| 0011A |
|
68 |
65 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |
| 0012A |
|
60 |
60 |
$0.00 |