MICHELS PHARMACY INC
NPI: 1497797724
· WEST UNION, WV 26456
· Pharmacy
· NPI assigned 06/12/2006
$759.22
Total Medicaid Paid
Provider Details
| Authorized Official | ROCK, DANIEL (PRESIDENT) |
| NPI Enumeration Date | 06/12/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
34 |
$759.22 |
| 2021 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$379.61 |
| 90756 |
|
17 |
17 |
$379.61 |
| 0031A |
|
12 |
12 |
$0.00 |
| 0004A |
|
16 |
16 |
$0.00 |