NPI: 1740453323 · WORCESTER, MA 01610 · Community/Retail Pharmacy · NPI assigned 04/04/2008
| Authorized Official | LE CHANG, THU (PHCY DIRECTOR) |
| NPI Enumeration Date | 04/04/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 286 | $19K |
| 2019 | 213 | $20K |
| 2020 | 305 | $38K |
| 2021 | 55 | $6K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 844 | 727 | $82K |
| E0607 | Home blood glucose monitor | 15 | 15 | $931.50 |