S-S PHARMACY, INC.
NPI: 1407911837
· COUNCIL BLUFFS, IA 51503
· Long Term Care Pharmacy
· NPI assigned 12/26/2006
$0.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SHIPLEY, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
170 |
$0.00 |
| 2022 |
108 |
$0.00 |
| 2023 |
74 |
$0.00 |
| 2024 |
40 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0031A |
|
13 |
13 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| 0012A |
|
54 |
54 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$0.00 |
| W1300 |
|
289 |
162 |
$0.00 |