PHARMACA INTEGRATIVE PHARMACY, INC.
NPI: 1528121910
· BOULDER, CO 80304
· 333600000X
$113.56
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
618 |
$113.56 |
| 2022 |
172 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
72 |
53 |
$113.56 |
| 0064A |
|
64 |
34 |
$0.00 |
| 91306 |
|
64 |
34 |
$0.00 |
| 0001A |
|
43 |
40 |
$0.00 |
| 0004A |
|
176 |
89 |
$0.00 |
| 91300 |
|
371 |
222 |
$0.00 |