NPI: 1063508018 · AMERICAN FALLS, ID 83211 · Long Term Care Pharmacy
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 100 | $6K |
| 2019 | 156 | $6K |
| 2020 | 93 | $1K |
| 2021 | 203 | $7K |
| 2022 | 14 | $174.72 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 270 | 250 | $13K |
| 0002A | 92 | 91 | $4K | |
| 0001A | 96 | 96 | $3K | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 108 | 106 | $1K |