THE HOME HEALTH STORE OF TOMBALL, INC.
NPI: 1508826199
· TOMBALL, TX 77375
· 332BP3500X
$164K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
116 |
$2K |
| 2021 |
495 |
$8K |
| 2022 |
5,375 |
$155K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0553 |
Ther cgm supply allowance |
2,588 |
2,586 |
$107K |
| K0554 |
Ther cgm receiver/monitor |
2,588 |
2,586 |
$45K |
| A4554 |
Disposable underpads |
304 |
272 |
$9K |
| A4335 |
Incontinence supply |
449 |
400 |
$2K |
| S8101 |
Spacer with mask |
57 |
56 |
$897.72 |