GUARDIAN PHARMACY OF MINNEAPOLIS, LLC
NPI: 1275111775
· EDEN PRAIRIE, MN 55344
· Community/Retail Pharmacy
· NPI assigned 03/29/2021
$351.45
Total Medicaid Paid
Provider Details
| Authorized Official | HALCROW, CASEY (PRESIDENT) |
| NPI Enumeration Date | 03/29/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
90 |
$0.00 |
| 2022 |
96 |
$0.00 |
| 2023 |
196 |
$351.45 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
26 |
26 |
$214.47 |
| 91322 |
|
43 |
43 |
$136.98 |
| 0013A |
|
90 |
90 |
$0.00 |
| 90662 |
|
46 |
46 |
$0.00 |
| 0134A |
|
41 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
65 |
65 |
$0.00 |
| 90480 |
|
42 |
42 |
$0.00 |
| 0064A |
|
29 |
29 |
$0.00 |