FRANCIS W SOUTHALL JR
NPI: 1891798336
· LEBANON, KY 40033
· Long Term Care Pharmacy
· NPI assigned 05/28/2005
$116.02
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
92 |
$81.91 |
| 2019 |
39 |
$27.45 |
| 2020 |
41 |
$6.66 |
| 2021 |
308 |
$0.00 |
| 2022 |
367 |
$0.00 |
| 2023 |
286 |
$0.00 |
| 2024 |
275 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
120 |
93 |
$114.54 |
| A4259 |
Lancets, per box of 100 |
30 |
26 |
$1.48 |
| 0124A |
|
114 |
114 |
$0.00 |
| 0004A |
|
18 |
18 |
$0.00 |
| 90653 |
|
25 |
25 |
$0.00 |
| 0003A |
|
264 |
249 |
$0.00 |
| 91320 |
|
216 |
216 |
$0.00 |
| 888888 |
|
111 |
111 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
137 |
137 |
$0.00 |
| 0001A |
|
15 |
15 |
$0.00 |
| 90694 |
|
69 |
69 |
$0.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
143 |
143 |
$0.00 |
| 90677 |
|
36 |
36 |
$0.00 |
| 90480 |
|
110 |
110 |
$0.00 |