PHARMSCRIPT OF IN LLC
NPI: 1770095333
· INDIANAPOLIS, IN 46250
· Pharmacy
· NPI assigned 11/03/2017
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | HOFF, CHANA (VP OF FINANCIAL OPERATIONS) |
| NPI Enumeration Date | 11/03/2017 |
Related Entities
Other providers sharing the same authorized official: HOFF, CHANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
263 |
$0.00 |
| 2021 |
3,930 |
$0.00 |
| 2022 |
1,349 |
$0.00 |
| 2023 |
275 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0013A |
|
25 |
25 |
$0.00 |
| 0004A |
|
72 |
72 |
$0.00 |
| 0054A |
|
57 |
57 |
$0.00 |
| 0124A |
|
899 |
784 |
$0.00 |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
19 |
18 |
$0.00 |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
15 |
13 |
$0.00 |
| 0011A |
|
2,016 |
2,014 |
$0.00 |
| 0064A |
|
845 |
844 |
$0.00 |
| 0012A |
|
1,856 |
1,854 |
$0.00 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
13 |
12 |
$0.00 |