HOUCHENS EXPRESS PHARMACY LLC
NPI: 1962562199
· JASPER, IN 47546
· Durable Medical Equipment & Medical Supplies
· NPI assigned 12/11/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BIDWELL, LESLIE (DIRECTOR OF PHARMACY OPERATIONS) |
| NPI Enumeration Date | 12/11/2006 |
Related Entities
Other providers sharing the same authorized official: BIDWELL, LESLIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
93 |
$0.00 |
| 2019 |
100 |
$0.00 |
| 2020 |
67 |
$0.00 |
| 2021 |
67 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0008 |
Administration of influenza virus vaccine |
173 |
170 |
$0.00 |
| 90694 |
|
62 |
60 |
$0.00 |
| 90674 |
|
31 |
31 |
$0.00 |
| 90662 |
|
61 |
61 |
$0.00 |