PHARMCARE USA OF EDISON, INC.
NPI: 1194906172
· EDISON, NJ 08837
· Home Infusion Therapy Pharmacy
· NPI assigned 11/19/2007
$817.66
Total Medicaid Paid
Provider Details
| Authorized Official | PAGE, DORIS (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 11/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
31 |
$0.00 |
| 2021 |
167 |
$240.00 |
| 2022 |
186 |
$0.00 |
| 2023 |
169 |
$577.66 |
| 2024 |
50 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 91322 |
|
14 |
12 |
$291.84 |
| 90694 |
|
147 |
132 |
$194.50 |
| 0004A |
|
47 |
47 |
$160.00 |
| 90480 |
|
14 |
12 |
$80.00 |
| 0003A |
|
36 |
36 |
$80.00 |
| G0008 |
Administration of influenza virus vaccine |
198 |
182 |
$11.32 |
| 0134A |
|
13 |
12 |
$0.00 |
| 90653 |
|
25 |
25 |
$0.00 |
| 90682 |
|
15 |
15 |
$0.00 |
| 0124A |
|
54 |
53 |
$0.00 |
| 0054A |
|
40 |
40 |
$0.00 |