LTC PHARMACY MANAGEMENT SERVICES, LLC
NPI: 1497349955
· NOBLESVILLE, IN 46060
· Long Term Care Pharmacy
· NPI assigned 02/25/2021
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | AYERS, CURT (CEO) |
| NPI Enumeration Date | 02/25/2021 |
Related Entities
Other providers sharing the same authorized official: AYERS, CURT
| Provider | City | State | Total Paid |
|---|
| MAC RX, LLC |
DES PLAINES |
IL |
$68K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
122 |
$0.00 |
| 2022 |
158 |
$0.00 |
| 2023 |
830 |
$0.00 |
| 2024 |
1,073 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90677 |
|
653 |
570 |
$0.00 |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
160 |
146 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
723 |
628 |
$0.00 |
| 90480 |
|
250 |
236 |
$0.00 |
| 90732 |
|
90 |
78 |
$0.00 |
| 91320 |
|
237 |
233 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |
| 91322 |
|
33 |
33 |
$0.00 |