CARECHOICE PHARMACY LLC
NPI: 1699173849
· GARLAND, TX 75042
· Pharmacist
· NPI assigned 12/19/2014
$739.53
Total Medicaid Paid
Provider Details
| Authorized Official | LAI, HUNG (PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 12/19/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
121 |
$193.89 |
| 2020 |
41 |
$152.97 |
| 2021 |
220 |
$392.67 |
| 2022 |
30 |
$0.00 |
| 2023 |
24 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
102 |
101 |
$707.36 |
| A4259 |
Lancets, per box of 100 |
76 |
76 |
$32.17 |
| G0008 |
Administration of influenza virus vaccine |
78 |
78 |
$0.00 |
| 90674 |
|
19 |
19 |
$0.00 |
| 90686 |
|
39 |
39 |
$0.00 |
| 0013A |
|
90 |
88 |
$0.00 |
| 0003A |
|
32 |
32 |
$0.00 |