GIANT EAGLE INC
NPI: 1801801725
· NEW KENSINGTON, PA 15068
· Pharmacy
· NPI assigned 07/29/2006
$144K
Total Medicaid Paid
Provider Details
| Authorized Official | KRASNOW, DEBRA (DIRECTOR MANAGED CARE) |
| NPI Enumeration Date | 07/29/2006 |
Related Entities
Other providers sharing the same authorized official: KRASNOW, DEBRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
386 |
$0.00 |
| 2024 |
4,917 |
$144K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90661 |
|
1,274 |
1,274 |
$47K |
| 90750 |
|
161 |
160 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,622 |
2,383 |
$24K |
| 90656 |
|
601 |
601 |
$13K |
| 90678 |
|
74 |
55 |
$13K |
| 91320 |
|
60 |
60 |
$9K |
| 91322 |
|
28 |
28 |
$4K |
| 90653 |
|
37 |
37 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
76 |
$807.75 |
| 90686 |
|
193 |
103 |
$491.70 |
| 90674 |
|
177 |
100 |
$0.00 |