OMDERA INTEGRATED SERVICES, LLC
NPI: 1386229904
· AURORA, CO 80012
· Community/Retail Pharmacy
· NPI assigned 03/15/2021
Provider Details
| Authorized Official | NWAGWU, AGATHA (PHARMACIST) |
| NPI Enumeration Date | 03/15/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
68 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91322 |
|
16 |
15 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
19 |
$338.72 |
| 90656 |
|
16 |
15 |
$290.55 |
| 90480 |
|
15 |
14 |
$254.04 |