HOMETOWN PHARMACY OF CAMPBELLSVILLE, PLLC
NPI: 1972062420
· CAMPBELLSVILLE, KY 42718
· Durable Medical Equipment & Medical Supplies
· NPI assigned 03/14/2019
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | EADS, NELDA (PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 03/14/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
83 |
$0.00 |
| 2022 |
53 |
$0.00 |
| 2023 |
72 |
$0.00 |
| 2024 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91322 |
|
42 |
42 |
$0.00 |
| 0004A |
|
14 |
14 |
$0.00 |
| 888888 |
|
12 |
12 |
$0.00 |
| 0054A |
|
13 |
13 |
$0.00 |
| 0124A |
|
12 |
12 |
$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 |
16 |
16 |
$0.00 |
| 90480 |
|
30 |
30 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| 0012A |
|
31 |
31 |
$0.00 |
| 0011A |
|
38 |
38 |
$0.00 |
| 0134A |
|
16 |
16 |
$0.00 |