ELLA COMMUNITY PHARMACY 1, LLC
NPI: 1679090195
· WESTFIELD, IN 46074
· Community/Retail Pharmacy
· NPI assigned 08/25/2017
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | ANGELOTTI, ERIK (PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 08/25/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$0.00 |
| 2019 |
34 |
$0.00 |
| 2020 |
12 |
$0.00 |
| 2021 |
28 |
$0.00 |
| 2022 |
130 |
$0.00 |
| 2023 |
51 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
89 |
88 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
75 |
73 |
$0.00 |
| 0064A |
|
28 |
28 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 90694 |
|
17 |
16 |
$0.00 |
| 90682 |
|
16 |
16 |
$0.00 |
| 0124A |
|
25 |
19 |
$0.00 |
| 0054A |
|
19 |
19 |
$0.00 |