SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
NPI: 1629515028
· WHEAT RIDGE, CO 80401
· Pharmacy
· NPI assigned 01/23/2017
$900.00
Total Medicaid Paid
Provider Details
| Authorized Official | DUNFORD, CARRIE (CHIEF PHARMACY OFFICER & VP CLINICA) |
| NPI Enumeration Date | 01/23/2017 |
Related Entities
Other providers sharing the same authorized official: DUNFORD, CARRIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,073 |
$900.00 |
| 2022 |
25 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0003A |
|
140 |
88 |
$750.00 |
| 0001A |
|
1,756 |
1,010 |
$150.00 |
| 0012A |
|
49 |
28 |
$0.00 |
| 0011A |
|
91 |
55 |
$0.00 |
| 0002A |
|
1,062 |
637 |
$0.00 |