PAVILION HEALTH COMPANY, LLC
NPI: 1780280693
· BRIDGETON, MO 63044
· 251E00000X
$30.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
46 |
$30.00 |
| 2024 |
442 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
66 |
57 |
$30.00 |
| E0607 |
Blood glucose monitor home |
13 |
12 |
$0.00 |
| E1399 |
Durable medical equipment mi |
14 |
14 |
$0.00 |
| A4259 |
Lancets per box |
150 |
120 |
$0.00 |
| A4245 |
Alcohol wipes per box |
183 |
142 |
$0.00 |
| A4206 |
1 cc sterile syringe&needle |
62 |
51 |
$0.00 |