NPI: 1073790408 · IRVINE, CA 92604 · Pharmacy
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $370.08 |
| 2022 | 12 | $324.25 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A6531 | Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each | 15 | 15 | $370.08 |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 12 | 12 | $324.25 |