WILLIAMS LTC PHARMACY, LLC
NPI: 1770524472
· FISHERS, IN 46037
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
89 |
$0.00 |
| 2023 |
399 |
$0.00 |
| 2024 |
1,581 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91320 |
|
309 |
258 |
$0.00 |
| 91322 |
|
176 |
156 |
$0.00 |
| 0013A |
|
57 |
57 |
$0.00 |
| 90480 |
|
469 |
398 |
$0.00 |
| 90686 |
|
95 |
95 |
$0.00 |
| G0008 |
Admin influenza virus vac |
380 |
301 |
$0.00 |
| 90656 |
|
314 |
235 |
$0.00 |
| 90677 |
|
137 |
113 |
$0.00 |
| 0064A |
|
32 |
32 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
100 |
76 |
$0.00 |