LIFE RX INC
NPI: 1255652210
· DE WITT, IA 52742
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/14/2010
Provider Details
Related Entities
Other providers sharing the same authorized official: WALKER, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
46 |
$566.82 |
| 2020 |
54 |
$922.12 |
| 2021 |
360 |
$5K |
| 2022 |
123 |
$822.37 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
45 |
44 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
100 |
72 |
$1K |
| 90686 |
|
77 |
77 |
$1K |
| 0012A |
|
45 |
44 |
$1K |
| 0002A |
|
16 |
16 |
$560.00 |
| 0001A |
|
14 |
13 |
$480.00 |
| 0013A |
|
12 |
12 |
$320.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
71 |
$137.43 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
15 |
15 |
$33.15 |
| 91300 |
|
63 |
60 |
$0.00 |
| 0124A |
|
20 |
20 |
$0.00 |
| 91301 |
|
93 |
92 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |