NPI: 1134120991 · SANFORD, FL 32771 · Compounding Pharmacy · NPI assigned 08/02/2005
| Authorized Official | SCHNEIDER, MARK (PRESIDENT) |
| NPI Enumeration Date | 08/02/2005 |
Other providers sharing the same authorized official: SCHNEIDER, MARK
| Provider | City | State | Total Paid |
|---|---|---|---|
| VIZION HEALTH OKLAHOMA | MIAMI | OK | $470K |
| TEAMCARE PHARMACY SERVICES, INC | MIAMI | FL | $38K |
| COMMUNITY MEDICAL GROUP OF DOWNEY, INC. | DOWNEY | CA | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 49 | $9K |
| 2019 | 17 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S9343 | Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 41 | 25 | $9K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 25 | 17 | $4K |