GOODRICH PHARMACY INC
NPI: 1346244274
· ANOKA, MN 55303
· Pharmacy
· NPI assigned 06/09/2005
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
34 |
$0.00 |
| 2019 |
14 |
$0.00 |
| 2020 |
48 |
$0.00 |
| 2021 |
72 |
$0.00 |
| 2022 |
68 |
$0.00 |
| 2023 |
255 |
$4K |
| 2024 |
57 |
$927.85 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99401 |
|
145 |
145 |
$3K |
| 99605 |
|
28 |
28 |
$2K |
| 91322 |
|
19 |
19 |
$282.90 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
27 |
27 |
$176.05 |
| 90480 |
|
22 |
22 |
$44.19 |
| G0008 |
Administration of influenza virus vaccine |
150 |
149 |
$31.72 |
| 0013A |
|
24 |
24 |
$0.00 |
| 90662 |
|
37 |
37 |
$0.00 |
| 0002A |
|
12 |
12 |
$0.00 |
| 90756 |
|
32 |
32 |
$0.00 |
| 0124A |
|
20 |
19 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |