LAGNIAPPE PHARMACY 6, LLC
NPI: 1669584652
· OPELOUSAS, LA 70570
· Pharmacy
· NPI assigned 08/31/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | PETERS, ERIC (OWNER/MANAGING MEMBER) |
| NPI Enumeration Date | 08/31/2006 |
Related Entities
Other providers sharing the same authorized official: PETERS, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
35 |
$0.00 |
| 2019 |
39 |
$0.00 |
| 2020 |
52 |
$0.00 |
| 2021 |
534 |
$0.00 |
| 2022 |
29 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
56 |
56 |
$0.00 |
| 0013A |
|
44 |
44 |
$0.00 |
| 0012A |
|
196 |
195 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
130 |
130 |
$0.00 |
| 0011A |
|
170 |
170 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 0064A |
|
78 |
77 |
$0.00 |