NPI: 1306277397 · NORTHPORT, AL 35476 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/02/2013
| Authorized Official | DAVIS, LOGAN (OWNER) |
| NPI Enumeration Date | 12/02/2013 |
Other providers sharing the same authorized official: DAVIS, LOGAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| TWIN STATES INFUSION, LLC | TUPELO | MS | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22 | $3K |
| 2019 | 240 | $30K |
| 2020 | 90 | $7K |
| 2021 | 37 | $4K |
| 2023 | 74 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S9500 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 463 | 136 | $49K |