PARK AVE APOTHECARY LLC
NPI: 1568538668
· COLORADO SPRINGS, CO 80909
· Durable Medical Equipment & Medical Supplies
· NPI assigned 11/28/2006
$638.14
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SCHEELS, PATRICK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
364 |
$0.00 |
| 2023 |
17 |
$236.82 |
| 2024 |
41 |
$401.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
45 |
39 |
$638.14 |
| 0012A |
|
83 |
83 |
$0.00 |
| 91301 |
|
191 |
188 |
$0.00 |
| 0011A |
|
90 |
88 |
$0.00 |
| 90661 |
|
13 |
13 |
$0.00 |