NPI: 1639180201 · GRANTS PASS, OR 97526 · Pharmacy · NPI assigned 08/10/2006
| Authorized Official | FREE, CLARISSA (OWNER) |
| NPI Enumeration Date | 08/10/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 958 | $28K |
| 2019 | 127 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4927 | Gloves, non-sterile, per 100 | 473 | 435 | $8K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 135 | 130 | $7K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 58 | 56 | $5K |
| T4541 | Incontinence product, disposable underpad, large, each | 232 | 210 | $4K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 47 | 42 | $4K |
| 99606 | 140 | 85 | $950.00 |