ECONO-MART PHARMACY INC
NPI: 1679568729
· BATESVILLE, AR 72501
· Compounding Pharmacy
· NPI assigned 09/14/2005
Provider Details
Related Entities
Other providers sharing the same authorized official: HOLIFIELD, PAUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
460 |
$9K |
| 2019 |
352 |
$6K |
| 2020 |
156 |
$2K |
| 2021 |
872 |
$22K |
| 2022 |
103 |
$161.53 |
| 2023 |
81 |
$0.00 |
| 2024 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
645 |
520 |
$15K |
| 0002A |
|
222 |
187 |
$11K |
| 0001A |
|
282 |
266 |
$8K |
| 0012A |
|
117 |
114 |
$1K |
| 0011A |
|
124 |
120 |
$678.58 |
| 90686 |
|
110 |
96 |
$566.51 |
| 0013A |
|
12 |
12 |
$440.00 |
| 0031A |
|
45 |
43 |
$320.00 |
| A4259 |
Lancets, per box of 100 |
90 |
72 |
$294.83 |
| G9141 |
|
24 |
20 |
$181.64 |
| 91307 |
|
13 |
12 |
$0.13 |
| 0064A |
|
76 |
75 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
163 |
154 |
$0.00 |
| 90480 |
|
28 |
28 |
$0.00 |
| 90662 |
|
61 |
61 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |
| 91322 |
|
28 |
28 |
$0.00 |