SENIOR PHARMACY SERVICES, INC.
NPI: 1942242391
· CARROLLTON, TX 75010
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/11/2006
$324.63
Total Medicaid Paid
Provider Details
| Authorized Official | GALLARDO, ERIKA (OFFICE ADMINISTRATOR/AR) |
| NPI Enumeration Date | 06/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
71 |
$324.63 |
| 2022 |
38 |
$0.00 |
| 2023 |
62 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
22 |
16 |
$170.63 |
| 0002A |
|
13 |
13 |
$154.00 |
| 0003A |
|
36 |
36 |
$0.00 |
| 0124A |
|
29 |
28 |
$0.00 |
| 0054A |
|
16 |
16 |
$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 |
55 |
51 |
$0.00 |