HANA PHARMACY, INC.
NPI: 1750303616
· FAIRFAX, VA 22030
· Pharmacy
· NPI assigned 07/23/2006
$265.29
Total Medicaid Paid
Provider Details
| Authorized Official | KONG, MI-KYUNG (PRESIDENT/PIC) |
| NPI Enumeration Date | 07/23/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
135 |
$38.61 |
| 2019 |
263 |
$137.25 |
| 2020 |
43 |
$42.83 |
| 2021 |
26 |
$46.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
296 |
232 |
$237.99 |
| A4259 |
Lancets, per box of 100 |
171 |
135 |
$27.30 |