LOW PHARM INC.
NPI: 1821497611
· MT WASHINGTON, PA 15211
· Pharmacy
· NPI assigned 08/18/2014
$631.28
Total Medicaid Paid
Provider Details
| Authorized Official | WYELS, JAMIE (OWNER/PRESIDENT) |
| NPI Enumeration Date | 08/18/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
18 |
$176.00 |
| 2022 |
28 |
$455.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$330.00 |
| 90686 |
|
14 |
14 |
$301.28 |