UNIVERSITY COMMONS PHARMACY
NPI: 1306251061
· SOUTH BEND, IN 46635
· Community/Retail Pharmacy
· NPI assigned 06/20/2014
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KADI, RAGHID (PRESIDENT) |
| NPI Enumeration Date | 06/20/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$0.00 |
| 2022 |
31 |
$0.00 |
| 2023 |
155 |
$0.00 |
| 2024 |
196 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90694 |
|
43 |
43 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
132 |
113 |
$0.00 |
| 90480 |
|
90 |
74 |
$0.00 |
| 91322 |
|
81 |
65 |
$0.00 |
| 90653 |
|
49 |
31 |
$0.00 |