VALUE RX LLC
NPI: 1205425667
· LAS VEGAS, NV 89130
· Community/Retail Pharmacy
· NPI assigned 01/11/2021
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | TRAN, KRISTY (PHARMACY MANAGER) |
| NPI Enumeration Date | 01/11/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
429 |
$0.00 |
| 2023 |
272 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
662 |
650 |
$0.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
12 |
12 |
$0.00 |
| 0124A |
|
27 |
16 |
$0.00 |