GUARDIAN PHARMACY OF MINNESOTA LLC
NPI: 1568732709
· SAUK RAPIDS, MN 56379
· Pharmacy
· NPI assigned 01/05/2012
Provider Details
| Authorized Official | BOE, MARK (PRESIDENT) |
| NPI Enumeration Date | 01/05/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
196 |
$0.00 |
| 2019 |
338 |
$4K |
| 2020 |
414 |
$10K |
| 2021 |
493 |
$8K |
| 2022 |
430 |
$3K |
| 2023 |
777 |
$11K |
| 2024 |
77 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99607 |
|
460 |
381 |
$21K |
| 99605 |
|
430 |
400 |
$19K |
| 90686 |
|
420 |
411 |
$660.47 |
| 91322 |
|
126 |
119 |
$444.75 |
| 90662 |
|
178 |
174 |
$149.14 |
| 90480 |
|
126 |
119 |
$122.07 |
| G0008 |
Administration of influenza virus vaccine |
703 |
694 |
$113.98 |
| 90694 |
|
53 |
53 |
$0.00 |
| 90688 |
|
34 |
34 |
$0.00 |
| 0011A |
|
51 |
51 |
$0.00 |
| 0012A |
|
49 |
49 |
$0.00 |
| 0134A |
|
24 |
24 |
$0.00 |
| 0124A |
|
28 |
28 |
$0.00 |
| 0013A |
|
43 |
42 |
$0.00 |