NPI: 1346244274 · ANOKA, MN 55303 · Pharmacy · NPI assigned 06/09/2005
| Authorized Official | SIMENSON, STEVEN (PRESIDENT) |
| NPI Enumeration Date | 06/09/2005 |
| 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 |
| Code | Description | Claims | Beneficiaries | 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 |