ACHTERHOF HEALTHCARE PHARMACY, LLC
NPI: 1225022841
· EUGENE, OR 97402
· 3336L0003X
$962K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,985 |
$169K |
| 2019 |
3,851 |
$167K |
| 2020 |
3,322 |
$139K |
| 2021 |
2,890 |
$114K |
| 2022 |
2,634 |
$107K |
| 2023 |
2,928 |
$127K |
| 2024 |
3,048 |
$140K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult size pull-on med |
1,963 |
1,928 |
$180K |
| A4927 |
Non-sterile gloves |
9,373 |
9,094 |
$167K |
| T4523 |
Adult size brief/diaper lg |
1,682 |
1,650 |
$166K |
| T4527 |
Adult size pull-on lg |
1,621 |
1,564 |
$149K |
| T4528 |
Adult size pull-on xl |
910 |
894 |
$100K |
| T4535 |
Disposable liner/shield/pad |
1,439 |
1,419 |
$81K |
| T4542 |
Small disposable underpad |
3,416 |
3,334 |
$77K |
| T4537 |
Reusable underpad bed size |
851 |
828 |
$24K |
| T4524 |
Adult size brief/diaper xl |
130 |
129 |
$16K |
| T4543 |
Adult disp brief/diap abv xl |
14 |
12 |
$2K |
| G0008 |
Admin influenza virus vac |
583 |
408 |
$0.00 |
| T1999 |
Noc retail items andsupplies |
38 |
38 |
$0.00 |
| 90480 |
|
41 |
30 |
$0.00 |
| 90688 |
|
174 |
145 |
$0.00 |
| 90656 |
|
24 |
14 |
$0.00 |
| 90686 |
|
43 |
25 |
$0.00 |
| 91322 |
|
41 |
30 |
$0.00 |
| 90653 |
|
64 |
36 |
$0.00 |
| 90662 |
|
251 |
171 |
$0.00 |