MEDSPACK MD LLC
NPI: 1851974646
· ROCKVILLE, MD 20850
· Durable Medical Equipment & Medical Supplies
· NPI assigned 04/30/2021
$530.78
Total Medicaid Paid
Provider Details
| Authorized Official | ARIKERI, PRAMOD (PRESIDENT) |
| NPI Enumeration Date | 04/30/2021 |
Related Entities
Other providers sharing the same authorized official: ARIKERI, PRAMOD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
39 |
$530.78 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
15 |
12 |
$389.05 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
24 |
12 |
$141.73 |