NPI: 1548595218 · SAINT PAUL, MN 55104 · Home Infusion Therapy Pharmacy · NPI assigned 10/13/2009
| Authorized Official | DAVENPORT, DOUG (CFO) |
| Parent Organization | HEALTHEAST CARE SYSTEM |
| NPI Enumeration Date | 10/13/2009 |
Other providers sharing the same authorized official: DAVENPORT, DOUG
| Provider | City | State | Total Paid |
|---|---|---|---|
| SOUTHSIDE COMMUNITY HOSPITAL, INC. | FARMVILLE | VA | $26.64M |
| HEALTHEAST OUTPATIENT SERVICES, LLC | SAINT PAUL | MN | $1.44M |
| BEDFORD MEMORIAL HOSPITAL | BEDFORD | VA | $517K |
| SOUTHSIDE COMMUNITY HOSPITAL INC. | FARMVILLE | VA | $361K |
| SOUTHSIDE COMMUNITY HOSPITAL, INC. | FARMVILLE | VA | $19K |
| CENTRA PACE - FARMVILLE | FARMVILLE | VA | $16K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 30,237 | $761K |
| 2019 | 23,211 | $1.20M |
| 2020 | 19,951 | $1.08M |
| 2021 | 8,555 | $491K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 71,838 | 69,223 | $2.47M |
| T1030 | Nursing care, in the home, by registered nurse, per diem | 9,811 | 3,827 | $1.04M |
| T1031 | Nursing care, in the home, by licensed practical nurse, per diem | 63 | 38 | $6K |
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 126 | 124 | $4K |
| S5160 | Emergency response system; installation and testing | 116 | 116 | $4K |