JOHNS PHARMACY LLLP
NPI: 1437109667
· CAPE GIRARDEAU, MO 63703
· Compounding Pharmacy
· NPI assigned 05/10/2006
$822K
Total Medicaid Paid
Provider Details
| Authorized Official | FUNK, ABRAHAM (OWNER) |
| NPI Enumeration Date | 05/10/2006 |
Related Entities
Other providers sharing the same authorized official: FUNK, ABRAHAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
444 |
$71K |
| 2019 |
501 |
$88K |
| 2020 |
665 |
$110K |
| 2021 |
1,059 |
$151K |
| 2022 |
930 |
$162K |
| 2023 |
756 |
$139K |
| 2024 |
511 |
$102K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
4,557 |
4,172 |
$816K |
| 0001A |
|
95 |
88 |
$2K |
| 0013A |
|
48 |
48 |
$2K |
| 0002A |
|
60 |
60 |
$1K |
| 0011A |
|
33 |
28 |
$838.58 |
| 0071A |
|
19 |
19 |
$760.00 |
| 0012A |
|
16 |
15 |
$560.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$0.00 |
| 90736 |
|
19 |
19 |
$0.00 |