COMMUNITY PHARMACY SERVICES LLC
NPI: 1063624328
· GRETNA, NE 68028
· 333600000X
$152K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
585 |
$28K |
| 2019 |
403 |
$17K |
| 2020 |
1,129 |
$47K |
| 2021 |
1,873 |
$58K |
| 2022 |
433 |
$3K |
| 2023 |
17 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4520 |
Incontinence garment anytype |
1,109 |
855 |
$80K |
| B4150 |
Ef complet w/intact nutrient |
640 |
410 |
$29K |
| T4527 |
Adult size pull-on lg |
244 |
213 |
$21K |
| T4528 |
Adult size pull-on xl |
85 |
75 |
$8K |
| T4535 |
Disposable liner/shield/pad |
236 |
181 |
$6K |
| T4524 |
Adult size brief/diaper xl |
49 |
38 |
$4K |
| T4523 |
Adult size brief/diaper lg |
33 |
29 |
$3K |
| A4253 |
Blood glucose/reagent strips |
157 |
141 |
$660.89 |
| 0002A |
|
457 |
457 |
$449.31 |
| 90662 |
|
126 |
121 |
$264.25 |
| 0001A |
|
481 |
476 |
$235.41 |
| 0004A |
|
66 |
66 |
$37.25 |
| 0051A |
|
209 |
209 |
$10.36 |
| 0124A |
|
202 |
202 |
$2.22 |
| 0003A |
|
178 |
154 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
21 |
16 |
$0.00 |
| G0008 |
Admin influenza virus vac |
147 |
142 |
$0.00 |