WAUSAU FAMILY PHARMACY LLC
NPI: 1891439154
· WAUSAU, WI 54401
· Pharmacy
· NPI assigned 04/22/2022
$161K
Total Medicaid Paid
Provider Details
| Authorized Official | YANG, ZOUA (PHARMACIST) |
| NPI Enumeration Date | 04/22/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
111 |
$3K |
| 2023 |
1,509 |
$82K |
| 2024 |
1,590 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99605 |
|
1,258 |
1,131 |
$90K |
| 99606 |
|
1,148 |
1,062 |
$47K |
| 91322 |
|
200 |
189 |
$14K |
| 90480 |
|
204 |
192 |
$4K |
| 0124A |
|
71 |
63 |
$2K |
| 90686 |
|
55 |
53 |
$1K |
| S9430 |
Pharmacy compounding and dispensing services |
14 |
12 |
$857.95 |
| 0053A |
|
20 |
16 |
$572.40 |
| 90688 |
|
23 |
19 |
$530.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |
| 99607 |
|
204 |
199 |
$0.00 |