SMITHBURG RETAIL ENTERPRISE, INC.
NPI: 1548365992
· LIMON, CO 80828
· Long Term Care Pharmacy
· NPI assigned 09/13/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
95 |
$2K |
| 2019 |
106 |
$2K |
| 2020 |
69 |
$945.23 |
| 2021 |
191 |
$1K |
| 2022 |
68 |
$854.96 |
| 2023 |
111 |
$1K |
| 2024 |
26 |
$313.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
504 |
468 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
48 |
$884.91 |
| 90686 |
|
28 |
28 |
$477.84 |
| 91306 |
|
12 |
12 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| 0011A |
|
15 |
15 |
$0.00 |
| 91301 |
|
43 |
39 |
$0.00 |