PRIMARY HEALTH SOURCE INC.
NPI: 1316996143
· LAREDO, TX 78040
· 332B00000X
$3.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,307 |
$438K |
| 2019 |
10,574 |
$436K |
| 2020 |
9,861 |
$415K |
| 2021 |
9,959 |
$430K |
| 2022 |
9,556 |
$419K |
| 2023 |
9,380 |
$438K |
| 2024 |
9,111 |
$434K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4527 |
Adult size pull-on lg |
6,294 |
6,290 |
$809K |
| A4554 |
Disposable underpads |
17,284 |
17,264 |
$658K |
| T4526 |
Adult size pull-on med |
5,511 |
5,510 |
$560K |
| T4535 |
Disposable liner/shield/pad |
10,844 |
10,818 |
$412K |
| T4528 |
Adult size pull-on xl |
2,431 |
2,418 |
$370K |
| A4335 |
Incontinence supply |
19,206 |
19,143 |
$108K |
| T4523 |
Adult size brief/diaper lg |
330 |
330 |
$33K |
| T4524 |
Adult size brief/diaper xl |
182 |
182 |
$25K |
| A4253 |
Blood glucose/reagent strips |
2,064 |
2,058 |
$19K |
| T4525 |
Adult size pull-on sm |
88 |
88 |
$9K |
| A5500 |
Diab shoe for density insert |
586 |
294 |
$2K |
| A4259 |
Lancets per box |
1,954 |
1,954 |
$2K |
| A4256 |
Calibrator solution/chips |
1,516 |
1,515 |
$2K |
| A5512 |
Multi den insert direct form |
406 |
204 |
$449.53 |
| E0607 |
Blood glucose monitor home |
52 |
52 |
$0.00 |