NPI: 1063509255 · BALTIMORE, MD 21217 · Pharmacy · NPI assigned 10/07/2006
| Authorized Official | POTLURI, SYAM (MANAGING MEMBER) |
| NPI Enumeration Date | 10/07/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 162 | $2K |
| 2019 | 122 | $863.14 |
| 2020 | 170 | $1K |
| 2021 | 13 | $56.58 |
| 2022 | 25 | $128.14 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 492 | 469 | $4K |