BOSCOBEL PHARMACY, INC
NPI: 1245249614
· BOSCOBEL, WI 53805
· Long Term Care Pharmacy
· NPI assigned 08/05/2006
$105K
Total Medicaid Paid
Provider Details
| Authorized Official | FARRELL, MICHELLE (PHARMACIST, OWNER) |
| NPI Enumeration Date | 08/05/2006 |
Related Entities
Other providers sharing the same authorized official: FARRELL, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
89 |
$4K |
| 2019 |
213 |
$8K |
| 2020 |
311 |
$13K |
| 2021 |
1,211 |
$18K |
| 2022 |
687 |
$26K |
| 2023 |
366 |
$17K |
| 2024 |
478 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99606 |
|
1,526 |
1,293 |
$67K |
| 0001A |
|
297 |
271 |
$7K |
| 0002A |
|
166 |
164 |
$6K |
| 90686 |
|
223 |
213 |
$6K |
| 99605 |
|
82 |
76 |
$6K |
| S9430 |
Pharmacy compounding and dispensing services |
123 |
119 |
$3K |
| 90679 |
|
20 |
13 |
$2K |
| 0004A |
|
50 |
50 |
$2K |
| 90678 |
|
28 |
14 |
$2K |
| 91322 |
|
12 |
12 |
$1K |
| A4670 |
Automatic blood pressure monitor |
23 |
17 |
$938.40 |
| 0071A |
|
25 |
24 |
$877.68 |
| 0072A |
|
22 |
22 |
$839.52 |
| 0003A |
|
13 |
13 |
$419.76 |
| 91300 |
|
577 |
475 |
$2.80 |
| 91307 |
|
50 |
49 |
$0.00 |
| 99607 |
|
76 |
62 |
$0.00 |
| 91313 |
|
42 |
20 |
$0.00 |