TANGLEWOOD PHARMACY INC
NPI: 1356375281
· STEPHENVILLE, TX 76401
· Long Term Care Pharmacy
· NPI assigned 07/10/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | HORTON, EDMUND (OWNER) |
| NPI Enumeration Date | 07/10/2006 |
Related Entities
Other providers sharing the same authorized official: HORTON, EDMUND
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
164 |
$0.00 |
| 2020 |
285 |
$0.00 |
| 2021 |
249 |
$0.00 |
| 2022 |
362 |
$0.00 |
| 2023 |
641 |
$0.00 |
| 2024 |
296 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
400 |
400 |
$0.00 |
| 0134A |
|
98 |
98 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
724 |
724 |
$0.00 |
| 90480 |
|
151 |
151 |
$0.00 |
| 90674 |
|
43 |
43 |
$0.00 |
| 90688 |
|
58 |
58 |
$0.00 |
| 90656 |
|
128 |
128 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
20 |
20 |
$0.00 |
| 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 |
21 |
21 |
$0.00 |
| 0124A |
|
65 |
65 |
$0.00 |
| 91320 |
|
152 |
152 |
$0.00 |
| 90662 |
|
38 |
38 |
$0.00 |
| 0053A |
|
15 |
15 |
$0.00 |
| 90670 |
|
20 |
20 |
$0.00 |
| 0013A |
|
64 |
64 |
$0.00 |