MABILES CORNER PHARMACY INC
NPI: 1528141157
· COUSHATTA, LA 71019
· Pharmacy
· NPI assigned 10/24/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MABILE, CONNIE (PRES) |
| NPI Enumeration Date | 10/24/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
222 |
$0.00 |
| 2019 |
243 |
$0.00 |
| 2020 |
120 |
$0.00 |
| 2021 |
192 |
$0.00 |
| 2022 |
136 |
$0.00 |
| 2023 |
105 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
187 |
178 |
$0.00 |
| 90670 |
|
78 |
73 |
$0.00 |
| 90694 |
|
125 |
125 |
$0.00 |
| 0064A |
|
41 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
371 |
362 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
111 |
106 |
$0.00 |
| 0011A |
|
59 |
59 |
$0.00 |
| 0012A |
|
34 |
34 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |