STOVALLS PRESCRIPTION SHOP INC
NPI: 1255463287
· SCOTTSVILLE, KY 42164
· Pharmacy
· NPI assigned 03/13/2007
$227.95
Total Medicaid Paid
Provider Details
| Authorized Official | STOVALL, LARRY (PHARMACIST AND CO OWNER) |
| NPI Enumeration Date | 03/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
58 |
$227.95 |
| 2020 |
15 |
$0.00 |
| 2021 |
37 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
58 |
55 |
$227.95 |
| 0001A |
|
20 |
20 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 0002A |
|
17 |
17 |
$0.00 |