CLARK'S PHARMACY, INC
NPI: 1285732503
· CEDAR RAPIDS, IA 52402
· Community/Retail Pharmacy
· NPI assigned 09/20/2006
Provider Details
| Authorized Official | CLARK, CRAIG (R.PH. / OWNER) |
| NPI Enumeration Date | 09/20/2006 |
Related Entities
Other providers sharing the same authorized official: CLARK, CRAIG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
317 |
$60.54 |
| 2019 |
111 |
$2.33 |
| 2021 |
712 |
$9K |
| 2022 |
351 |
$3K |
| 2023 |
287 |
$9K |
| 2024 |
51 |
$628.38 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91322 |
|
65 |
65 |
$5K |
| 0001A |
|
74 |
74 |
$3K |
| 0012A |
|
75 |
53 |
$2K |
| 91320 |
|
30 |
30 |
$2K |
| 0011A |
|
76 |
54 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
448 |
399 |
$2K |
| 90674 |
|
60 |
60 |
$2K |
| 90480 |
|
80 |
80 |
$1K |
| 0124A |
|
40 |
40 |
$1K |
| 90688 |
|
92 |
92 |
$1K |
| 90686 |
|
102 |
102 |
$846.54 |
| 90685 |
|
38 |
38 |
$724.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
202 |
$346.12 |
| 90656 |
|
14 |
14 |
$44.70 |
| 91312 |
|
40 |
40 |
$17.00 |
| 91300 |
|
74 |
74 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
129 |
129 |
$0.00 |
| 91301 |
|
190 |
135 |
$0.00 |