MAPLE AVENUE PHARMACY INC
NPI: 1982791174
· EUNICE, LA 70535
· Pharmacy
· NPI assigned 10/07/2006
$0.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
56 |
$0.00 |
| 2019 |
60 |
$0.00 |
| 2020 |
67 |
$0.00 |
| 2021 |
226 |
$0.00 |
| 2022 |
58 |
$0.00 |
| 2023 |
26 |
$0.00 |
| 2024 |
33 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
148 |
147 |
$0.00 |
| 0011A |
|
86 |
86 |
$0.00 |
| 0012A |
|
79 |
79 |
$0.00 |
| 90686 |
|
115 |
114 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
33 |
33 |
$0.00 |
| 0013A |
|
49 |
49 |
$0.00 |