NPI: 1831664564 · HEBER SPRINGS, AR 72543 · Compounding Pharmacy · NPI assigned 10/09/2018
| Authorized Official | HUTCHINS, SAMUEL (PHARMACIST/OWNER) |
| NPI Enumeration Date | 10/09/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $0.00 |
| 2020 | 16 | $0.00 |
| 2021 | 782 | $11K |
| 2022 | 121 | $2K |
| 2023 | 92 | $0.00 |
| 2024 | 48 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 75 | 75 | $5K | |
| 0001A | 94 | 93 | $4K | |
| 0071A | 17 | 16 | $2K | |
| 0011A | 146 | 141 | $1K | |
| 0012A | 115 | 115 | $950.00 | |
| 0013A | 81 | 79 | $200.00 | |
| 0031A | 12 | 12 | $140.00 | |
| 90686 | 36 | 27 | $96.84 | |
| G0008 | Administration of influenza virus vaccine | 115 | 108 | $0.38 |
| 91301 | 34 | 32 | $0.07 | |
| G0009 | Administration of pneumococcal vaccine | 12 | 12 | $0.00 |
| 91307 | 40 | 35 | $0.00 | |
| 90480 | 39 | 36 | $0.00 | |
| 90677 | 12 | 12 | $0.00 | |
| 0064A | 28 | 27 | $0.00 | |
| 91320 | 14 | 12 | $0.00 | |
| 91300 | 154 | 139 | $0.00 | |
| 0124A | 24 | 24 | $0.00 | |
| 91322 | 25 | 24 | $0.00 |