TERRADISE PROPERTIES INC
NPI: 1306918198
· DANVILLE, KY 40422
· Pharmacy
· NPI assigned 11/15/2006
$175.83
Total Medicaid Paid
Provider Details
| Authorized Official | COYLE, DOUG (OWNER) |
| NPI Enumeration Date | 11/15/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
42 |
$138.11 |
| 2019 |
44 |
$37.72 |
| 2021 |
106 |
$0.00 |
| 2022 |
89 |
$0.00 |
| 2023 |
27 |
$0.00 |
| 2024 |
71 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
38 |
38 |
$175.83 |
| 91322 |
|
33 |
33 |
$0.00 |
| 0124A |
|
14 |
14 |
$0.00 |
| 888888 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
74 |
74 |
$0.00 |
| 90480 |
|
19 |
19 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
75 |
73 |
$0.00 |
| 90686 |
|
19 |
19 |
$0.00 |
| 0012A |
|
67 |
67 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |