MERCY PHARMACY GROUP, INC
NPI: 1629184007
· TORRANCE, CA 90502
· Community/Retail Pharmacy
· NPI assigned 08/21/2006
$78.42
Total Medicaid Paid
Provider Details
| Authorized Official | LY, JEAN (PRESIDENT) |
| NPI Enumeration Date | 08/21/2006 |
Related Entities
Other providers sharing the same authorized official: LY, JEAN
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 |
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 |
38 |
38 |
$35.50 |
| 91322 |
|
23 |
23 |
$2.92 |
| 91320 |
|
48 |
48 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
20 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 0134A |
|
15 |
15 |
$0.00 |