NPI: 1245245893 · HASBROUCK HEIGHTS, NJ 07604 · Clinic Pharmacy · NPI assigned 07/30/2006
| Authorized Official | PAPASAVAS, SAM (OWNER/RPH) |
| NPI Enumeration Date | 07/30/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 212 | $9K |
| 2021 | 1,137 | $55K |
| 2022 | 857 | $39K |
| 2023 | 519 | $23K |
| 2024 | 373 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 670 | 407 | $44K |
| A4554 | Disposable underpads, all sizes | 931 | 915 | $43K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 483 | 310 | $33K |
| A4927 | Gloves, non-sterile, per 100 | 998 | 996 | $18K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 16 | 12 | $0.00 |