MEDICAL CLINIC PHARMACY INC
NPI: 1962581652
· CALDWELL, ID 83605
· Compounding Pharmacy
· NPI assigned 11/03/2006
Provider Details
| Authorized Official | HIGGINS, TYLER (PRESIDENT) |
| NPI Enumeration Date | 11/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
72 |
$2K |
| 2019 |
15 |
$249.60 |
| 2020 |
129 |
$2K |
| 2021 |
112 |
$2K |
| 2022 |
130 |
$3K |
| 2023 |
53 |
$621.67 |
| 2024 |
27 |
$299.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
470 |
430 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
14 |
$887.84 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$624.96 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
14 |
$595.84 |