LTC RX INC
NPI: 1396049706
· CHIPPEWA FALLS, WI 54729
· Compounding Pharmacy
· NPI assigned 12/28/2010
$142K
Total Medicaid Paid
Provider Details
| Authorized Official | WINGER, PAUL (OWNER) |
| NPI Enumeration Date | 12/28/2010 |
Related Entities
Other providers sharing the same authorized official: WINGER, PAUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
114 |
$2K |
| 2019 |
55 |
$2K |
| 2020 |
62 |
$2K |
| 2021 |
1,737 |
$21K |
| 2022 |
178 |
$5K |
| 2023 |
137 |
$9K |
| 2024 |
5,511 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9150 |
Non-prescription drugs |
4,253 |
4,050 |
$63K |
| S9430 |
Pharmacy compounding and dispensing services |
1,110 |
1,110 |
$28K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
148 |
129 |
$10K |
| 0002A |
|
304 |
285 |
$8K |
| 90674 |
|
172 |
172 |
$6K |
| 91322 |
|
55 |
43 |
$6K |
| 0001A |
|
333 |
309 |
$5K |
| 90688 |
|
160 |
160 |
$5K |
| 90686 |
|
141 |
141 |
$4K |
| 0064A |
|
46 |
46 |
$2K |
| 0134A |
|
49 |
49 |
$2K |
| 0004A |
|
36 |
36 |
$1K |
| 0012A |
|
35 |
34 |
$928.00 |
| 0013A |
|
18 |
18 |
$648.72 |
| 0011A |
|
39 |
38 |
$575.96 |
| V5266 |
Battery for use in hearing device |
18 |
12 |
$98.88 |
| 91301 |
|
96 |
94 |
$0.00 |
| 91306 |
|
46 |
46 |
$0.00 |
| 91313 |
|
49 |
49 |
$0.00 |
| 91300 |
|
686 |
562 |
$0.00 |