EAGLE GROVE PHARMACY INC
NPI: 1316968373
· EAGLE GROVE, IA 50533
· Pharmacy
· NPI assigned 07/22/2006
Provider Details
| Authorized Official | WAGNER, ANDREW (PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 07/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
58 |
$370.12 |
| 2020 |
28 |
$303.06 |
| 2021 |
293 |
$3K |
| 2022 |
100 |
$1K |
| 2023 |
13 |
$15.27 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
30 |
30 |
$1K |
| 90688 |
|
37 |
37 |
$789.66 |
| 90674 |
|
38 |
38 |
$689.57 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
86 |
63 |
$673.18 |
| 0002A |
|
25 |
23 |
$600.00 |
| 0072A |
|
13 |
13 |
$520.00 |
| 0134A |
|
12 |
12 |
$357.05 |
| 0001A |
|
21 |
21 |
$226.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
88 |
$152.70 |
| 91307 |
|
21 |
14 |
$16.00 |
| 91313 |
|
12 |
12 |
$9.00 |
| 91300 |
|
40 |
40 |
$0.00 |
| 91301 |
|
69 |
67 |
$0.00 |