NPI: 1184057168 · EMPORIA, KS 66801 · Compounding Pharmacy · NPI assigned 08/14/2013
| Authorized Official | HAAG, AMBER (PRESIDENT) |
| NPI Enumeration Date | 08/14/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 171 | $462.17 |
| 2019 | 136 | $118.38 |
| 2021 | 33 | $0.00 |
| 2022 | 104 | $90.82 |
| 2023 | 63 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 259 | 233 | $591.37 |
| 0124A | 50 | 50 | $40.00 | |
| 0004A | 31 | 31 | $40.00 | |
| 0134A | 32 | 32 | $0.00 | |
| 90480 | 14 | 14 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 25 | 25 | $0.00 |
| 91322 | 14 | 14 | $0.00 | |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 24 | 12 | $0.00 |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 25 | 13 | $0.00 |
| 0003A | 33 | 33 | $0.00 |