MONROE HOMETOWN PHARMACY WEST LLC
NPI: 1871059626
· MONROE, WI 53566
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
547 |
$6K |
| 2022 |
23 |
$0.00 |
| 2024 |
209 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
111 |
92 |
$3K |
| 0001A |
|
96 |
91 |
$3K |
| A9150 |
Misc/exper non-prescript dru |
197 |
143 |
$1K |
| 0071A |
|
15 |
15 |
$572.40 |
| S9430 |
Pharmacy comp/disp serv |
12 |
12 |
$300.00 |
| 91300 |
|
310 |
254 |
$0.00 |
| 91307 |
|
38 |
29 |
$0.00 |