NPI: 1639634256 · NORTH BAY VILLAGE, FL 33141 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/07/2019
| Authorized Official | DIAZ, SERGIO (OWNER) |
| NPI Enumeration Date | 02/07/2019 |
Other providers sharing the same authorized official: DIAZ, SERGIO
| Provider | City | State | Total Paid |
|---|---|---|---|
| RGV PRIMARY CARE, INC. | MCALLEN | TX | $264K |
| JT JS, LLP | MCALLEN | TX | $42K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 85 | $3K |
| 2023 | 130 | $5K |
| 2024 | 39 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 169 | 160 | $6K |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 85 | 82 | $3K |