LECARE PHARMACY LLC
NPI: 1912534926
· PORTLAND, OR 97213
· Community/Retail Pharmacy
· NPI assigned 03/27/2020
$40.00
Total Medicaid Paid
Provider Details
| Authorized Official | LE, SANDY (PHARMACIST/OWNER) |
| NPI Enumeration Date | 03/27/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
102 |
$0.00 |
| 2023 |
62 |
$40.00 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90480 |
|
57 |
50 |
$40.00 |
| 0001A |
|
55 |
50 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
13 |
$0.00 |
| 0064A |
|
30 |
26 |
$0.00 |
| 0011A |
|
17 |
14 |
$0.00 |