BURRELL, INC.
NPI: 1194190066
· SPRINGFIELD, MO 65807
· Community/Retail Pharmacy
· NPI assigned 12/03/2015
$847.44
Total Medicaid Paid
Provider Details
| Authorized Official | TREBILCOCK, CHARLES (VICE PRESIDENT, PHARMACY) |
| NPI Enumeration Date | 12/03/2015 |
Related Entities
Other providers sharing the same authorized official: TREBILCOCK, CHARLES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
28 |
$847.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99607 |
|
12 |
12 |
$650.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$197.44 |