GRACE HEALTHCARE SOLUTIONS INC
NPI: 1649215179
· SAN DIMAS, CA 91773
· Pharmacy
· NPI assigned 06/18/2006
$32.33
Total Medicaid Paid
Provider Details
| Authorized Official | CHEN, SHIH-PING (PRESIDENT/CEO) |
| NPI Enumeration Date | 06/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
38 |
$0.00 |
| 2024 |
77 |
$32.33 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
31 |
31 |
$28.58 |
| 90656 |
|
18 |
18 |
$3.75 |
| 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 |
33 |
31 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |
| 90686 |
|
19 |
19 |
$0.00 |