NPI: 1861853509 · DENVER, CO 80249 · Community/Retail Pharmacy · NPI assigned 03/08/2016
| Authorized Official | SOREMEKUN, ALICE (OWNER/PIC) |
| NPI Enumeration Date | 03/08/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 412 | $14K |
| 2022 | 251 | $11K |
| 2024 | 82 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0071A | 95 | 91 | $5K | |
| 0001A | 97 | 92 | $4K | |
| 0002A | 88 | 77 | $4K | |
| 0072A | 50 | 47 | $3K | |
| 91322 | 29 | 24 | $3K | |
| 0003A | 68 | 63 | $3K | |
| 0013A | 74 | 68 | $2K | |
| 0011A | 107 | 94 | $2K | |
| 0031A | 41 | 39 | $1K | |
| 0012A | 19 | 19 | $782.42 | |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | 17 | 17 | $480.06 |
| 90480 | 22 | 21 | $338.72 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 14 | 13 | $148.19 |
| 0124A | 24 | 19 | $0.00 |