MALABAR PHARMACY LLC
NPI: 1144541830
· PALM BAY, FL 32907
· Specialty Pharmacy
· NPI assigned 06/16/2010
$297.62
Total Medicaid Paid
Provider Details
| Authorized Official | SHAH, ANKUR (PHARMACY MANAGER) |
| NPI Enumeration Date | 06/16/2010 |
Related Entities
Other providers sharing the same authorized official: SHAH, ANKUR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
108 |
$0.00 |
| 2019 |
106 |
$0.00 |
| 2020 |
177 |
$51.57 |
| 2021 |
216 |
$0.00 |
| 2022 |
156 |
$246.05 |
| 2023 |
170 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0124A |
|
19 |
13 |
$151.16 |
| 90674 |
|
101 |
77 |
$94.89 |
| 90653 |
|
131 |
106 |
$51.57 |
| G0008 |
Administration of influenza virus vaccine |
426 |
337 |
$0.00 |
| 90694 |
|
139 |
100 |
$0.00 |
| E0570 |
Nebulizer, with compressor |
13 |
13 |
$0.00 |
| 90756 |
|
15 |
15 |
$0.00 |
| 0003A |
|
89 |
52 |
$0.00 |