ENID FARMACIA SANTA ANA DE PATILLAS INC
NPI: 1295833234
· PATILLAS, PR 00723
· Pharmacy
· NPI assigned 09/21/2006
Provider Details
| Authorized Official | RIEFKOHL, ENID (OWNER) |
| NPI Enumeration Date | 09/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
136 |
$2K |
| 2019 |
153 |
$1K |
| 2020 |
66 |
$608.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
175 |
165 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
55 |
$842.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$174.90 |
| G0008 |
Administration of influenza virus vaccine |
110 |
110 |
$0.00 |