GUARDIAN PHARMACY OF JACKSONVILLE
NPI: 1508896291
· JACKSONVILLE, FL 32256
· Pharmacy
· NPI assigned 07/05/2006
$492.64
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
42 |
$0.00 |
| 2020 |
276 |
$0.00 |
| 2021 |
392 |
$331.20 |
| 2022 |
438 |
$161.44 |
| 2023 |
127 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 0004A |
|
123 |
80 |
$207.68 |
| 0064A |
|
149 |
109 |
$117.12 |
| 0011A |
|
34 |
26 |
$84.48 |
| 0012A |
|
24 |
18 |
$83.36 |
| 90662 |
|
298 |
186 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
515 |
352 |
$0.00 |
| 90694 |
|
71 |
51 |
$0.00 |
| 90686 |
|
61 |
48 |
$0.00 |