QUICK MART PHARMACY & CONVENIENCE LLC
NPI: 1366577405
· MILLTOWN, NJ 08850
· Pharmacy
· NPI assigned 02/22/2007
$345.92
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, ALOK (OWNER) |
| NPI Enumeration Date | 02/22/2007 |
Related Entities
Other providers sharing the same authorized official: PATEL, ALOK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
297 |
$185.92 |
| 2024 |
356 |
$160.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90480 |
|
323 |
320 |
$200.00 |
| 91322 |
|
218 |
215 |
$145.92 |
| 91320 |
|
30 |
30 |
$0.00 |
| 90653 |
|
12 |
12 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
27 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |