IRWIN-POTTER PHARMACY LLC
NPI: 1841692746
· ANTHONY, KS 67003
· Durable Medical Equipment & Medical Supplies
· NPI assigned 09/23/2014
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | FREEMAN, LANCE (PRESIDENT) |
| NPI Enumeration Date | 09/23/2014 |
Related Entities
Other providers sharing the same authorized official: FREEMAN, LANCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$0.00 |
| 2019 |
83 |
$0.00 |
| 2020 |
54 |
$0.00 |
| 2021 |
42 |
$0.00 |
| 2022 |
28 |
$0.00 |
| 2023 |
68 |
$0.00 |
| 2024 |
39 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
130 |
130 |
$0.00 |
| 90480 |
|
26 |
26 |
$0.00 |
| 90686 |
|
25 |
25 |
$0.00 |
| 0001A |
|
20 |
20 |
$0.00 |
| 91300 |
|
22 |
22 |
$0.00 |
| 91320 |
|
27 |
27 |
$0.00 |
| 90662 |
|
50 |
50 |
$0.00 |
| 0124A |
|
14 |
14 |
$0.00 |
| 91312 |
|
14 |
14 |
$0.00 |