MERCY PHARMACY GROUP, INC
NPI: 1629184007
· TORRANCE, CA 90502
· 3336C0003X
$78.42
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
210 |
$78.42 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90480 |
|
66 |
66 |
$40.00 |
| M0201 |
Pne flu hepb cov home admin |
38 |
38 |
$35.50 |
| 91322 |
|
23 |
23 |
$2.92 |
| 91320 |
|
48 |
48 |
$0.00 |
| G0008 |
Admin influenza virus vac |
20 |
20 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 0134A |
|
15 |
15 |
$0.00 |