NPI: 1851567812 · ROCHESTER, NY 14624 · Home Infusion Therapy Pharmacy · NPI assigned 04/30/2008
| Authorized Official | KRAMM, EDWARD (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | UPSTATE NEWCO LLC |
| NPI Enumeration Date | 04/30/2008 |
Other providers sharing the same authorized official: KRAMM, EDWARD
| Provider | City | State | Total Paid |
|---|---|---|---|
| INNOVATIVE SERVICES INC. | SYRACUSE | NY | $26.29M |
| IV CARE, LLC | BELLEVILLE | IL | $10.46M |
| INNOVATIVE SERVICES INC | ROCHESTER | NY | $4.35M |
| TOTAL INFUSION CARE LLC | HENDERSON | NV | $3.13M |
| CENTRAL NEW YORK INFUSION SERVICES LLC | DEWITT | NY | $2.60M |
| A4 SPECIALTY MEDICAL GROUP LLC | ANCHORAGE | AK | $14K |
| DECILLION HEALTHCARE LLC | DUBLIN | OH | $5K |
| INJECTABLE THERAPY SERVICES INC | VAN NUYS | CA | $548.58 |
| K & K RX SERVICES, LP | GARNET VALLEY | PA | $7.85 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 156 | $49K |
| 2024 | 17 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 113 | 110 | $44K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 37 | 32 | $14K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 23 | 23 | $665.46 |