ONE-STOP PHARMACY 101 LLC
NPI: 1518344027
· WINTER HAVEN, FL 33881
· 333600000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
41 |
$0.00 |
| 2020 |
64 |
$0.00 |
| 2021 |
135 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
105 |
80 |
$0.00 |
| 90674 |
|
44 |
28 |
$0.00 |
| 0031A |
|
17 |
17 |
$0.00 |
| 0013A |
|
13 |
13 |
$0.00 |
| 0003A |
|
17 |
16 |
$0.00 |
| 90662 |
|
30 |
21 |
$0.00 |
| 90756 |
|
14 |
14 |
$0.00 |