GUARDIAN PHARMACY OF INDIANAPOLIS LTC, LLC
NPI: 1154676476
· INDIANAPOLIS, IN 46278
· Pharmacy
· NPI assigned 07/24/2012
$0.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
40 |
$0.00 |
| 2021 |
535 |
$0.00 |
| 2022 |
257 |
$0.00 |
| 2023 |
471 |
$0.00 |
| 2024 |
594 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91322 |
|
147 |
96 |
$0.00 |
| 90662 |
|
278 |
266 |
$0.00 |
| 90661 |
|
18 |
18 |
$0.00 |
| 90653 |
|
158 |
67 |
$0.00 |
| 91320 |
|
56 |
51 |
$0.00 |
| 0013A |
|
31 |
31 |
$0.00 |
| 0124A |
|
49 |
47 |
$0.00 |
| 0134A |
|
20 |
20 |
$0.00 |
| 0011A |
|
194 |
188 |
$0.00 |
| 0064A |
|
184 |
176 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
432 |
332 |
$0.00 |
| 90480 |
|
217 |
158 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
31 |
31 |
$0.00 |
| 90677 |
|
45 |
45 |
$0.00 |
| 90686 |
|
37 |
37 |
$0.00 |