MEDMAN23, INC
NPI: 1215557905
· NORTH LITTLE ROCK, AR 72117
· Community/Retail Pharmacy
· NPI assigned 04/22/2020
Provider Details
| Authorized Official | PERKINS, TERRY (OWNER/PHARMACIST) |
| NPI Enumeration Date | 04/22/2020 |
Related Entities
Other providers sharing the same authorized official: PERKINS, TERRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
920 |
$15K |
| 2022 |
275 |
$9K |
| 2023 |
63 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
207 |
187 |
$13K |
| 0002A |
|
83 |
80 |
$7K |
| 90678 |
|
31 |
12 |
$3K |
| 0012A |
|
159 |
150 |
$1K |
| 0003A |
|
89 |
86 |
$1K |
| 0011A |
|
160 |
151 |
$984.94 |
| 0013A |
|
31 |
31 |
$280.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
12 |
$65.70 |
| 91300 |
|
424 |
375 |
$3.31 |
| 91301 |
|
16 |
14 |
$0.10 |
| 91312 |
|
13 |
12 |
$0.00 |
| 0124A |
|
13 |
12 |
$0.00 |