ST LUKES REGIONAL MEDICAL CENTER
NPI: 1326040338
· MERIDIAN, ID 83642
· Pharmacy
· NPI assigned 08/10/2005
$112K
Total Medicaid Paid
Provider Details
| Authorized Official | CURTIS, KELLEY (CHIEF PHARMACY OFFICER) |
| Parent Organization | ST LUKES HEALTH SYSTEM LTD |
| NPI Enumeration Date | 08/10/2005 |
Related Entities
Other providers sharing the same authorized official: CURTIS, KELLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
79 |
$12K |
| 2022 |
248 |
$38K |
| 2023 |
226 |
$40K |
| 2024 |
151 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
333 |
302 |
$61K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
314 |
311 |
$50K |
| A4215 |
Needle, sterile, any size, each |
57 |
52 |
$2K |