NPI: 1376646752 · HORSESHOE BEND, AR 72512 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/07/2006
| Authorized Official | FOWLER, FRANK (OWNER AND PHARMACIST) |
| NPI Enumeration Date | 09/07/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 116 | $607.81 |
| 2020 | 17 | $92.70 |
| 2021 | 328 | $3K |
| 2022 | 25 | $0.00 |
| 2024 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0012A | 103 | 102 | $1K | |
| 0001A | 20 | 19 | $920.00 | |
| 0011A | 100 | 98 | $792.46 | |
| 90674 | 33 | 32 | $229.40 | |
| G9141 | 21 | 21 | $200.76 | |
| 90688 | 18 | 18 | $177.65 | |
| G0008 | Administration of influenza virus vaccine | 85 | 82 | $92.70 |
| 91301 | 63 | 61 | $0.58 | |
| 91300 | 20 | 16 | $0.17 | |
| 0013A | 22 | 22 | $0.00 | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 13 | 13 | $0.00 |