THRIFTY PAYLESS INC
NPI: 1275625360
· CALEXICO, CA 92231
· Durable Medical Equipment & Medical Supplies
· NPI assigned 09/28/2006
$625.28
Total Medicaid Paid
Provider Details
| Authorized Official | XOREK, JENNIFER (MANAGER ONLINE ADJUDICATION) |
| NPI Enumeration Date | 09/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
44 |
$12.20 |
| 2021 |
32 |
$0.00 |
| 2022 |
92 |
$0.00 |
| 2023 |
178 |
$0.00 |
| 2024 |
393 |
$613.08 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
271 |
267 |
$582.67 |
| A4259 |
Lancets, per box of 100 |
107 |
106 |
$30.41 |
| 90694 |
|
143 |
143 |
$12.20 |
| 90653 |
|
50 |
50 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |
| 90480 |
|
39 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
70 |
70 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
16 |
16 |
$0.00 |
| 90677 |
|
16 |
16 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |