NPI: 1871129973 · MILWAUKEE, WI 53219 · Community/Retail Pharmacy · NPI assigned 03/20/2020
| Authorized Official | BAKR, MARWA (PHARMACIST) |
| NPI Enumeration Date | 03/20/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,830 | $28K |
| 2022 | 385 | $6K |
| 2023 | 36 | $3K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 0002A | 289 | 280 | $9K | |
| 0001A | 385 | 348 | $9K | |
| 0071A | 110 | 105 | $4K | |
| 0072A | 99 | 94 | $4K | |
| 0004A | 105 | 102 | $4K | |
| 91304 | 16 | 15 | $2K | |
| 0124A | 56 | 55 | $2K | |
| 0003A | 22 | 22 | $801.36 | |
| 0053A | 20 | 20 | $763.20 | |
| 90480 | 20 | 19 | $725.04 | |
| 90674 | 18 | 18 | $659.81 | |
| 90686 | 16 | 16 | $584.32 | |
| 0031A | 12 | 12 | $457.92 | |
| 0134A | 12 | 12 | $419.76 | |
| 91300 | 733 | 664 | $0.10 | |
| 91307 | 209 | 151 | $0.00 | |
| 91303 | 12 | 12 | $0.00 | |
| 91305 | 49 | 49 | $0.00 | |
| 91313 | 12 | 12 | $0.00 | |
| 91312 | 56 | 55 | $0.00 |