EASTRIDGE-PHELPS PHARMACY LLC
NPI: 1245478007
· CAMPBELLSVILLE, KY 42718
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/31/2009
$147.42
Total Medicaid Paid
Provider Details
| Authorized Official | PHELPS, CHAD (PHARMACIST/PIC/MEMBER) |
| NPI Enumeration Date | 01/31/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$0.00 |
| 2019 |
31 |
$66.00 |
| 2020 |
33 |
$0.00 |
| 2021 |
78 |
$81.42 |
| 2022 |
67 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
25 |
24 |
$147.42 |
| 0124A |
|
13 |
13 |
$0.00 |
| 0002A |
|
22 |
22 |
$0.00 |
| 0064A |
|
39 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
77 |
77 |
$0.00 |
| 90686 |
|
40 |
40 |
$0.00 |
| 0001A |
|
19 |
19 |
$0.00 |