SAINT-MARK ENTERPRISES 1798 LLC
NPI: 1619114931
· TOMAH, WI 54660
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
450 |
$9K |
| 2022 |
59 |
$954.00 |
| 2024 |
488 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9430 |
Pharmacy comp/disp serv |
250 |
193 |
$7K |
| 0002A |
|
118 |
118 |
$5K |
| 0001A |
|
113 |
112 |
$4K |
| A9150 |
Misc/exper non-prescript dru |
238 |
167 |
$3K |
| 0003A |
|
13 |
13 |
$496.08 |
| 0124A |
|
13 |
12 |
$457.92 |
| 91300 |
|
228 |
199 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |