BAY STREET PHARMACY INC
NPI: 1588669063
· SEBASTIAN, FL 32958
· Compounding Pharmacy
· NPI assigned 06/20/2005
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | TOLLE, THERESA (PRESIDENT) |
| NPI Enumeration Date | 06/20/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
198 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
72 |
59 |
$0.00 |
| 0002A |
|
36 |
30 |
$0.00 |
| 0031A |
|
17 |
12 |
$0.00 |
| 0064A |
|
16 |
14 |
$0.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
15 |
15 |
$0.00 |
| 0001A |
|
42 |
36 |
$0.00 |