NPI: 1487060109 · PASSAIC, NJ 07055 · Pharmacy · NPI assigned 07/02/2014
| Authorized Official | PATEL, JIGNA (MEMBER) |
| NPI Enumeration Date | 07/02/2014 |
Other providers sharing the same authorized official: PATEL, JIGNA
| Provider | City | State | Total Paid |
|---|---|---|---|
| NIDHESHA LLC | LANCASTER | PA | $38K |
| WILSON FAMILY PHARMACY INC | OWENSBORO | KY | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 19 | $0.00 |
| 2022 | 2,558 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1,518 | 577 | $14K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 804 | 362 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 236 | 148 | $1K |
| 0013A | 19 | 18 | $0.00 |