WELIA HEALTH
NPI: 1841761871
· MORA, MN 55051
· Community/Retail Pharmacy
· NPI assigned 12/17/2018
$676.29
Total Medicaid Paid
Provider Details
| Authorized Official | ULSETH, RANDY (CEO) |
| Parent Organization | WELIA HEALTH |
| NPI Enumeration Date | 12/17/2018 |
Related Entities
Other providers sharing the same authorized official: ULSETH, RANDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
129 |
$0.00 |
| 2023 |
43 |
$676.29 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
43 |
43 |
$676.29 |
| 0011A |
|
38 |
38 |
$0.00 |
| 0001A |
|
69 |
69 |
$0.00 |
| 91301 |
|
22 |
19 |
$0.00 |