MONTICELLO DRUG COMPANY LLC
NPI: 1740371475
· MONTICELLO, AR 71655
· Long Term Care Pharmacy
· NPI assigned 09/27/2006
Provider Details
| Authorized Official | CROUSE, KHALIL (OWNER/PHARMD) |
| NPI Enumeration Date | 09/27/2006 |
Related Entities
Other providers sharing the same authorized official: CROUSE, KHALIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
157 |
$3K |
| 2019 |
46 |
$786.61 |
| 2020 |
94 |
$968.67 |
| 2021 |
591 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
288 |
249 |
$5K |
| 0002A |
|
54 |
50 |
$4K |
| 0001A |
|
83 |
69 |
$4K |
| 0012A |
|
113 |
108 |
$530.34 |
| 0011A |
|
123 |
117 |
$386.34 |
| A4259 |
Lancets, per box of 100 |
27 |
25 |
$78.38 |
| 0013A |
|
33 |
32 |
$40.00 |
| 91300 |
|
138 |
111 |
$1.00 |
| 91301 |
|
29 |
25 |
$0.22 |