IOTA FAMILY PHARMACY INC.
NPI: 1427761204
· IOTA, LA 70543
· Community/Retail Pharmacy
· NPI assigned 12/27/2022
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | TRAHAN, BRIAN (OWNER/MANAGER/PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 12/27/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
114 |
$0.00 |
| 2024 |
395 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90653 |
|
69 |
66 |
$0.00 |
| 91320 |
|
138 |
137 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
104 |
101 |
$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 |
30 |
30 |
$0.00 |
| 90480 |
|
138 |
137 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |