FROEDTERT HEALTH PHARMACY LLC
NPI: 1225686405
· MILWAUKEE, WI 53226
· Pharmacy
· NPI assigned 08/30/2019
Provider Details
| Authorized Official | DRIZD, DALE (EXEC DIR FH PHARMACY SOLUTION) |
| NPI Enumeration Date | 08/30/2019 |
Related Entities
Other providers sharing the same authorized official: DRIZD, DALE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
150 |
$3K |
| 2022 |
71 |
$1K |
| 2024 |
24 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
94 |
93 |
$3K |
| 91322 |
|
12 |
12 |
$1K |
| 90656 |
|
20 |
19 |
$519.84 |
| 90480 |
|
12 |
12 |
$113.59 |
| 91301 |
|
95 |
94 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |