VIRISAAR PHARMACY INC
NPI: 1831278506
· OLD BRIDGE, NJ 08857
· Pharmacy
· NPI assigned 11/03/2006
$154.08
Total Medicaid Paid
Provider Details
| Authorized Official | TAVVA, KIRAN (VICE-PRESIDENT) |
| NPI Enumeration Date | 11/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$0.00 |
| 2022 |
91 |
$139.30 |
| 2024 |
18 |
$14.78 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
34 |
34 |
$65.30 |
| 0054A |
|
17 |
17 |
$40.00 |
| 0134A |
|
22 |
22 |
$34.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
18 |
14 |
$14.78 |
| 0124A |
|
18 |
18 |
$0.00 |
| 0013A |
|
12 |
12 |
$0.00 |