HALLETTSVILLE PHARMACY LLC
NPI: 1043382849
· HALLETTSVILLE, TX 77964
· Durable Medical Equipment & Medical Supplies
· NPI assigned 11/15/2006
Provider Details
| Authorized Official | GRAHMANN, PAULA (PRESIDENT / OWNER) |
| NPI Enumeration Date | 11/15/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
75 |
$2K |
| 2020 |
402 |
$9K |
| 2021 |
359 |
$7K |
| 2022 |
175 |
$2K |
| 2023 |
211 |
$4K |
| 2024 |
134 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
556 |
556 |
$21K |
| A4335 |
Incontinence supply; miscellaneous |
769 |
769 |
$4K |
| 0003A |
|
18 |
18 |
$0.00 |
| 0004A |
|
13 |
13 |
$0.00 |