NELSONS CITY DRUG INC
NPI: 1891737367
· JOHN DAY, OR 97845
· Compounding Pharmacy
· NPI assigned 06/11/2006
$181.49
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ARMSTRONG, GREGORY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
44 |
$0.00 |
| 2019 |
60 |
$67.22 |
| 2020 |
96 |
$14.97 |
| 2021 |
98 |
$19.21 |
| 2022 |
100 |
$80.09 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
79 |
65 |
$141.49 |
| 0064A |
|
28 |
16 |
$40.00 |
| 90662 |
|
120 |
81 |
$0.00 |
| 90682 |
|
21 |
20 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
150 |
110 |
$0.00 |