NPI: 1104862580 · RIDGEFIELD PARK, NJ 07660 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 84 | $37.68 |
| 2019 | 688 | $2K |
| 2020 | 913 | $2K |
| 2021 | 8,154 | $7K |
| 2022 | 3,241 | $1K |
| 2023 | 389 | $222.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 3,303 | 3,278 | $6K | |
| A4253 | Blood glucose/reagent strips | 1,022 | 1,002 | $3K |
| 0002A | 914 | 884 | $1K | |
| Q0513 | Disp fee inhal drugs/30 days | 250 | 242 | $648.20 |
| 0003A | 1,123 | 1,100 | $506.00 | |
| 0124A | 1,036 | 964 | $472.00 | |
| J7507 | Tacrolimus imme rel oral 1mg | 17 | 12 | $330.91 |
| J7620 | Albuterol ipratrop non-comp | 77 | 68 | $216.67 |
| 0011A | 53 | 51 | $148.00 | |
| 0031A | 54 | 54 | $80.00 | |
| J7613 | Albuterol non-comp unit | 48 | 39 | $49.06 |
| 0004A | 932 | 931 | $40.00 | |
| A4259 | Lancets per box | 260 | 249 | $34.55 |
| 0051A | 275 | 271 | $34.00 | |
| 91300 | 3,932 | 3,277 | $1.01 | |
| 91312 | 56 | 51 | $0.00 | |
| 0013A | 18 | 15 | $0.00 | |
| 91303 | 53 | 53 | $0.00 | |
| G0333 | Dispense fee initial 30 day | 20 | 20 | $0.00 |
| E0607 | Blood glucose monitor home | 26 | 26 | $0.00 |