15RX LLC
NPI: 1841595188
· SAN ANTONIO, TX 78251
· Community/Retail Pharmacy
· NPI assigned 01/18/2011
Provider Details
| Authorized Official | AJMANI, DHIRAJ (PHARMACIST-INCHARGE) |
| NPI Enumeration Date | 01/18/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
28 |
$551.88 |
| 2020 |
461 |
$5K |
| 2022 |
13 |
$450.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads, all sizes |
161 |
156 |
$5K |
| A4927 |
Gloves, non-sterile, per 100 |
132 |
132 |
$937.87 |
| A4335 |
Incontinence supply; miscellaneous |
168 |
165 |
$236.36 |
| 90686 |
|
20 |
20 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
21 |
$0.00 |