AGAPE PHARMACY
NPI: 1740711837
· ALEXANDRIA, VA 22312
· Pharmacy
· NPI assigned 03/21/2017
$767.95
Total Medicaid Paid
Provider Details
| Authorized Official | CHOI, JEOUNGHEE (PRESIDENT) |
| NPI Enumeration Date | 03/21/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
517 |
$183.77 |
| 2019 |
772 |
$584.18 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90732 |
|
165 |
165 |
$497.38 |
| 90670 |
|
305 |
301 |
$159.57 |
| G0009 |
Administration of pneumococcal vaccine |
443 |
442 |
$111.00 |
| G0008 |
Administration of influenza virus vaccine |
188 |
187 |
$0.00 |
| 90662 |
|
188 |
187 |
$0.00 |