RED RIVER PHARMACY OF JONESBORO LLC
NPI: 1609323922
· JONESBORO, AR 72401
· 251F00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
56 |
$655.98 |
| 2019 |
822 |
$18K |
| 2020 |
44 |
$565.50 |
| 2021 |
189 |
$2K |
| 2022 |
379 |
$4K |
| 2023 |
289 |
$6K |
| 2024 |
68 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4221 |
Supp non-insulin inf cath/wk |
1,198 |
423 |
$17K |
| A4222 |
Infusion supplies with pump |
153 |
28 |
$11K |
| E0779 |
Amb infusion pump mechanical |
353 |
26 |
$3K |
| B4152 |
Ef calorie dense>/=1.5kcal |
22 |
12 |
$2K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
41 |
13 |
$177.25 |
| A6257 |
Transparent film <= 16 sq in |
40 |
13 |
$23.40 |
| A6216 |
Non-sterile gauze<=16 sq in |
40 |
13 |
$11.40 |