986 PHARMACY 8001 INC
NPI: 1245604792
· LA VERNE, CA 91750
· Pharmacy
· NPI assigned 11/20/2015
Provider Details
| Authorized Official | XU, LILIA (CEO) |
| NPI Enumeration Date | 11/20/2015 |
Related Entities
Other providers sharing the same authorized official: XU, LILIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,346 |
$3K |
| 2024 |
242 |
$663.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91320 |
|
442 |
442 |
$1K |
| 90480 |
|
568 |
568 |
$898.49 |
| 91322 |
|
202 |
202 |
$580.76 |
| 90694 |
|
113 |
113 |
$227.76 |
| G0008 |
Administration of influenza virus vaccine |
143 |
143 |
$129.69 |
| 0134A |
|
25 |
25 |
$40.00 |
| 90686 |
|
19 |
19 |
$21.90 |
| 0124A |
|
12 |
12 |
$0.00 |
| 90653 |
|
33 |
33 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |