FROEDTERT HEALTH PHARMACY LLC
NPI: 1689222515
· WAUWATOSA, WI 53226
· Pharmacy
· NPI assigned 09/04/2019
Provider Details
| Authorized Official | PERHACH, KEVIN (BUSINESS MANAGER) |
| NPI Enumeration Date | 09/04/2019 |
Related Entities
Other providers sharing the same authorized official: PERHACH, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
58 |
$1K |
| 2022 |
44 |
$725.04 |
| 2024 |
62 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
51 |
50 |
$2K |
| 91322 |
|
13 |
13 |
$1K |
| 90656 |
|
36 |
36 |
$1K |
| 90480 |
|
13 |
13 |
$113.59 |
| 91301 |
|
51 |
50 |
$0.00 |