LA JARA PHARMACEUTICAL CENTER, INC.
NPI: 1346336997
· LA JARA, CO 81140
· 332B00000X
$313K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,070 |
$55K |
| 2019 |
1,731 |
$45K |
| 2020 |
1,223 |
$38K |
| 2021 |
1,143 |
$46K |
| 2022 |
1,173 |
$48K |
| 2023 |
1,381 |
$52K |
| 2024 |
746 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,777 |
3,385 |
$233K |
| A4253 |
Blood glucose/reagent strips |
2,340 |
2,121 |
$33K |
| E0431 |
Portable gaseous 02 |
1,797 |
1,668 |
$21K |
| B4150 |
Ef complet w/intact nutrient |
101 |
89 |
$11K |
| E0439 |
Stationary liquid 02 |
144 |
140 |
$3K |
| E0570 |
Nebulizer with compression |
112 |
93 |
$3K |
| A4259 |
Lancets per box |
571 |
531 |
$2K |
| A4215 |
Sterile needle |
67 |
65 |
$2K |
| T4535 |
Disposable liner/shield/pad |
32 |
28 |
$2K |
| E0443 |
Portable 02 contents, gas |
222 |
191 |
$1K |
| E0434 |
Portable liquid 02 |
141 |
139 |
$947.42 |
| A4245 |
Alcohol wipes per box |
163 |
155 |
$789.00 |