NPI: 1518042936 · CANON CITY, CO 81212 · Community/Retail Pharmacy · NPI assigned 10/25/2006
| Authorized Official | SHELVER, WILLIAM (CEO) |
| NPI Enumeration Date | 10/25/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 639 | $8K |
| 2019 | 225 | $3K |
| 2020 | 15 | $48.23 |
| 2021 | 900 | $2K |
| 2022 | 158 | $0.00 |
| 2023 | 147 | $0.00 |
| 2024 | 186 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 798 | 643 | $10K |
| 0001A | 287 | 276 | $1K | |
| 0031A | 46 | 45 | $681.36 | |
| A4215 | Needle, sterile, any size, each | 31 | 27 | $641.00 |
| A4259 | Lancets, per box of 100 | 53 | 44 | $195.91 |
| A4245 | Alcohol wipes, per box | 12 | 12 | $55.66 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 424 | 406 | $0.00 |
| 90480 | 14 | 14 | $0.00 | |
| 90686 | 199 | 198 | $0.00 | |
| 90656 | 71 | 70 | $0.00 | |
| 90674 | 21 | 20 | $0.00 | |
| 0002A | 241 | 231 | $0.00 | |
| 0004A | 19 | 19 | $0.00 | |
| 90756 | 40 | 40 | $0.00 | |
| 91320 | 14 | 14 | $0.00 |