BLOOMING HEALTH LLC
NPI: 1194367987
· PARK RIDGE, NJ 07656
· Community/Retail Pharmacy
· NPI assigned 10/13/2019
$40.00
Total Medicaid Paid
Provider Details
| Authorized Official | WASSEF, AMGAD (CEO / OWNER) |
| NPI Enumeration Date | 10/13/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
34 |
$40.00 |
| 2022 |
149 |
$0.00 |
| 2023 |
45 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0003A |
|
19 |
14 |
$40.00 |
| 0124A |
|
17 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
117 |
95 |
$0.00 |
| 90694 |
|
75 |
65 |
$0.00 |