STEVENS POINT HOMETOWN PHARMACY LLC
NPI: 1992264667
· STEVENS POINT, WI 54481
· 333600000X
$419.76
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
16 |
$0.00 |
| 2023 |
13 |
$419.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90480 |
|
13 |
12 |
$419.76 |
| 91301 |
|
16 |
14 |
$0.00 |