WILSON BEARDEN PHARMACY INC
NPI: 1174534705
· MAGNOLIA, AR 71753
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/10/2006
Provider Details
| Authorized Official | MOORE, IVY (PHARMACIST AND OWNER) |
| NPI Enumeration Date | 08/10/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
28 |
$0.00 |
| 2020 |
16 |
$92.46 |
| 2021 |
1,536 |
$16K |
| 2022 |
3,211 |
$440.12 |
| 2023 |
94 |
$145.26 |
| 2024 |
16 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
447 |
442 |
$6K |
| 0011A |
|
488 |
471 |
$5K |
| 0001A |
|
24 |
24 |
$2K |
| 0002A |
|
27 |
26 |
$2K |
| 0064A |
|
125 |
116 |
$1K |
| 90686 |
|
59 |
40 |
$145.26 |
| G0008 |
Administration of influenza virus vaccine |
81 |
71 |
$123.36 |
| 0004A |
|
18 |
18 |
$40.00 |
| 91301 |
|
360 |
335 |
$2.95 |
| 91300 |
|
60 |
50 |
$0.50 |
| 90670 |
|
13 |
13 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
3,184 |
520 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
15 |
$0.00 |