VIGO HEALTH PHARMACY INC
NPI: 1508297615
· TERRE HAUTE, IN 47804
· Pharmacy
· NPI assigned 11/29/2013
$51.59
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, ALPESH (PRESIDENT, PIC) |
| NPI Enumeration Date | 11/29/2013 |
Related Entities
Other providers sharing the same authorized official: PATEL, ALPESH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
15 |
$51.59 |
| 2019 |
36 |
$0.00 |
| 2020 |
16 |
$0.00 |
| 2021 |
159 |
$0.00 |
| 2022 |
50 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
15 |
14 |
$51.59 |
| 90662 |
|
17 |
17 |
$0.00 |
| 0012A |
|
151 |
150 |
$0.00 |
| 0001A |
|
39 |
38 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
35 |
$0.00 |
| 0011A |
|
19 |
18 |
$0.00 |