FAIRVIEW PHARMACY SERVICES, LLC
NPI: 1124533450
· SAINT PAUL, MN 55117
· 332900000X
$120K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
227 |
$3K |
| 2019 |
193 |
$8K |
| 2020 |
83 |
$5K |
| 2021 |
319 |
$16K |
| 2022 |
507 |
$23K |
| 2023 |
772 |
$31K |
| 2024 |
763 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99607 |
|
1,664 |
1,486 |
$82K |
| 99606 |
|
948 |
905 |
$28K |
| 99605 |
|
252 |
225 |
$10K |