MADISON AVENUE PHARMACY INC
NPI: 1407930530
· SPRINGFIELD, OH 45504
· Pharmacy
· NPI assigned 10/25/2006
Provider Details
| Authorized Official | JUERGENS, ERIC (OWNER) |
| NPI Enumeration Date | 10/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
185 |
$2K |
| 2019 |
67 |
$144.79 |
| 2020 |
28 |
$184.44 |
| 2021 |
12 |
$24.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
19 |
13 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
259 |
239 |
$794.12 |
| A4259 |
Lancets, per box of 100 |
14 |
13 |
$6.79 |