MITCHELL'S MAIN STREET PHARMACY, INC
NPI: 1447503941
· MOUNTAIN VIEW, AR 72560
· 3336C0003X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$0.00 |
| 2020 |
20 |
$0.00 |
| 2021 |
753 |
$11K |
| 2022 |
65 |
$0.00 |
| 2023 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
71 |
71 |
$6K |
| 0001A |
|
80 |
77 |
$3K |
| 0012A |
|
126 |
125 |
$766.53 |
| 0064A |
|
111 |
108 |
$640.00 |
| 0011A |
|
152 |
144 |
$423.50 |
| 91300 |
|
144 |
124 |
$1.37 |
| 91301 |
|
57 |
53 |
$0.43 |
| 91306 |
|
12 |
12 |
$0.08 |
| K1034 |
Covid test self-admn/collect |
66 |
66 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
44 |
44 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |