MID VALLEY PHARMACY LLP
NPI: 1407848112
· MERCEDES, TX 78570
· 332B00000X
$948K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,073 |
$87K |
| 2019 |
3,235 |
$96K |
| 2020 |
4,069 |
$125K |
| 2021 |
5,585 |
$181K |
| 2022 |
5,495 |
$161K |
| 2023 |
5,431 |
$160K |
| 2024 |
4,094 |
$139K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads |
7,545 |
7,483 |
$261K |
| T4527 |
Adult size pull-on lg |
2,005 |
1,998 |
$180K |
| T4535 |
Disposable liner/shield/pad |
4,556 |
4,537 |
$163K |
| T4526 |
Adult size pull-on med |
1,807 |
1,797 |
$159K |
| T4528 |
Adult size pull-on xl |
685 |
679 |
$72K |
| A4335 |
Incontinence supply |
8,363 |
8,305 |
$44K |
| E0570 |
Nebulizer with compression |
456 |
450 |
$42K |
| T4532 |
Ped size pull-on lg |
199 |
199 |
$16K |
| A4253 |
Blood glucose/reagent strips |
1,548 |
1,528 |
$9K |
| A4259 |
Lancets per box |
1,464 |
1,458 |
$1K |
| A7003 |
Nebulizer administration set |
490 |
483 |
$840.53 |
| A7015 |
Aerosol mask used w nebulize |
194 |
191 |
$227.54 |
| A4258 |
Lancet device each |
51 |
51 |
$69.21 |
| A4256 |
Calibrator solution/chips |
38 |
37 |
$31.55 |
| K1034 |
Covid test self-admn/collect |
1,519 |
1,421 |
$0.00 |
| 0012A |
|
27 |
27 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |
| 0031A |
|
23 |
23 |
$0.00 |