MEDICAL CENTER PHARMACY OF DURANT, INC.
NPI: 1639753296
· MCALESTER, OK 74501
· 332BX2000X
$689K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
560 |
$39K |
| 2023 |
4,144 |
$275K |
| 2024 |
5,519 |
$374K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult size pull-on xl |
1,178 |
1,148 |
$158K |
| T4535 |
Disposable liner/shield/pad |
2,480 |
2,426 |
$145K |
| T4527 |
Adult size pull-on lg |
1,163 |
1,139 |
$126K |
| T4541 |
Large disposable underpad |
2,414 |
2,355 |
$85K |
| T4526 |
Adult size pull-on med |
719 |
700 |
$72K |
| E0570 |
Nebulizer with compression |
320 |
320 |
$36K |
| T4537 |
Reusable underpad bed size |
466 |
464 |
$35K |
| A4335 |
Incontinence supply |
1,073 |
1,057 |
$15K |
| T4523 |
Adult size brief/diaper lg |
80 |
78 |
$10K |
| T4543 |
Adult disp brief/diap abv xl |
13 |
13 |
$3K |
| A4927 |
Non-sterile gloves |
141 |
139 |
$3K |
| A7005 |
Nondisposable nebulizer set |
35 |
35 |
$756.15 |
| A7003 |
Nebulizer administration set |
141 |
141 |
$319.30 |