ST LUKES NAMPA MEDICAL CENTER LTD
NPI: 1780117259
· NAMPA, ID 83687
· Pharmacy
· NPI assigned 04/11/2017
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | CURTIS, KELLEY (CHIEF PHARMACY OFFICER) |
| Parent Organization | ST LUKES HEALTH SYSTEM LTD |
| NPI Enumeration Date | 04/11/2017 |
Related Entities
Other providers sharing the same authorized official: CURTIS, KELLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$2K |
| 2022 |
194 |
$33K |
| 2023 |
275 |
$53K |
| 2024 |
269 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
378 |
356 |
$80K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
191 |
191 |
$35K |
| A4215 |
Needle, sterile, any size, each |
128 |
125 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
53 |
51 |
$801.43 |