OLDHAM PHARMACIST GROUP
NPI: 1912523614
· LA GRANGE, KY 40031
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/18/2020
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MCKINLEY, WADE (OWNER) |
| NPI Enumeration Date | 06/18/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
65 |
$0.00 |
| 2022 |
64 |
$0.00 |
| 2023 |
22 |
$0.00 |
| 2024 |
84 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91320 |
|
12 |
12 |
$0.00 |
| 0003A |
|
86 |
85 |
$0.00 |
| 0124A |
|
34 |
34 |
$0.00 |
| 0054A |
|
19 |
19 |
$0.00 |
| 91322 |
|
30 |
29 |
$0.00 |
| 90480 |
|
42 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |