COTTONPORT CORNER DRUG LLC
NPI: 1922372358
· COTTONPORT, LA 71327
· Pharmacy
· NPI assigned 03/02/2012
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WIXSON, KIM (MRS.) |
| NPI Enumeration Date | 03/02/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$0.00 |
| 2021 |
429 |
$0.00 |
| 2022 |
119 |
$0.00 |
| 2023 |
192 |
$0.00 |
| 2024 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
43 |
43 |
$0.00 |
| 0002A |
|
121 |
121 |
$0.00 |
| 0003A |
|
25 |
25 |
$0.00 |
| 91320 |
|
32 |
31 |
$0.00 |
| 0124A |
|
23 |
23 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
123 |
123 |
$0.00 |
| 90686 |
|
122 |
122 |
$0.00 |
| 0001A |
|
132 |
131 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
92 |
92 |
$0.00 |
| 0064A |
|
48 |
48 |
$0.00 |
| 90480 |
|
32 |
31 |
$0.00 |