GREATER LAWRENCE FAMILY HEALTH CENTER INC
NPI: 1164967659
· LAWRENCE, MA 01843
· Pharmacy
· NPI assigned 12/20/2016
$150.54
Total Medicaid Paid
Provider Details
| Authorized Official | KELLEY, ZANDRA (CEO) |
| NPI Enumeration Date | 12/20/2016 |
Related Entities
Other providers sharing the same authorized official: KELLEY, ZANDRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
116 |
$46.75 |
| 2020 |
34 |
$0.00 |
| 2021 |
14 |
$50.00 |
| 2022 |
25 |
$53.79 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90662 |
|
14 |
14 |
$50.00 |
| 82947 |
|
103 |
99 |
$46.75 |
| G0008 |
Administration of influenza virus vaccine |
34 |
34 |
$34.37 |
| 83037 |
|
13 |
13 |
$19.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |