PAVILION HEALTH COMPANY, LLC
NPI: 1780280693
· BRIDGETON, MO 63044
· Home Health Agency
· NPI assigned 12/07/2020
$30.00
Total Medicaid Paid
Provider Details
| Authorized Official | KUNDA, NAGARAJ (DIRECTOR/OWNER) |
| NPI Enumeration Date | 12/07/2020 |
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 test or reagent strips for home blood glucose monitor, per 50 strips |
66 |
57 |
$30.00 |
| E0607 |
Home blood glucose monitor |
13 |
12 |
$0.00 |
| E1399 |
Durable medical equipment, miscellaneous |
14 |
14 |
$0.00 |
| A4259 |
Lancets, per box of 100 |
150 |
120 |
$0.00 |
| A4245 |
Alcohol wipes, per box |
183 |
142 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
62 |
51 |
$0.00 |