MEDICAL CENTER PHARMACY OF DURANT INC
NPI: 1114974383
· ARDMORE, OK 73401
· 332BX2000X
$341K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
778 |
$33K |
| 2019 |
969 |
$44K |
| 2020 |
1,708 |
$110K |
| 2021 |
661 |
$34K |
| 2022 |
697 |
$31K |
| 2023 |
1,012 |
$46K |
| 2024 |
805 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
1,386 |
1,386 |
$87K |
| A4335 |
Incontinence supply |
1,001 |
988 |
$54K |
| T4535 |
Disposable liner/shield/pad |
773 |
765 |
$42K |
| E0601 |
Cont airway pressure device |
657 |
657 |
$33K |
| T4528 |
Adult size pull-on xl |
285 |
283 |
$28K |
| T4527 |
Adult size pull-on lg |
218 |
215 |
$26K |
| T4541 |
Large disposable underpad |
693 |
684 |
$26K |
| A4927 |
Non-sterile gloves |
785 |
781 |
$23K |
| E0562 |
Humidifier heated used w pap |
483 |
483 |
$10K |
| T4526 |
Adult size pull-on med |
52 |
50 |
$6K |
| E1392 |
Portable oxygen concentrator |
285 |
285 |
$5K |
| A7038 |
Pos airway pressure filter |
12 |
12 |
$50.07 |