EASTSIDE PHARMACY, INC.
NPI: 1750421079
· POPLAR BLUFF, MO 63901
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
494 |
$778.53 |
| 2019 |
246 |
$378.00 |
| 2020 |
370 |
$275.55 |
| 2021 |
171 |
$47.16 |
| 2022 |
51 |
$3.33 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0513 |
Disp fee inhal drugs/30 days |
94 |
93 |
$1K |
| A4253 |
Blood glucose/reagent strips |
962 |
879 |
$457.65 |
| A4259 |
Lancets per box |
276 |
249 |
$12.02 |