PIONEER HOME MEDICAL SUPPLY, INC.
NPI: 1053422816
· WICHITA FALLS, TX 76308
· Parenteral & Enteral Nutrition Supplies (DME)
· NPI assigned 08/31/2006
$40.63
Total Medicaid Paid
Provider Details
| Authorized Official | TABASSI, RAMI (PRESIDENT) |
| NPI Enumeration Date | 08/31/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
79 |
$40.63 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
79 |
76 |
$40.63 |