ELITE RX INC
NPI: 1881989564
· FRESNO, CA 93710
· Pharmacy
· NPI assigned 06/10/2011
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | YANG, PANG (PIC/PRESIDENT) |
| NPI Enumeration Date | 06/10/2011 |
Related Entities
Other providers sharing the same authorized official: YANG, PANG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
50 |
$0.00 |
| 2023 |
133 |
$0.00 |
| 2024 |
93 |
$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 |
209 |
200 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| A4259 |
Lancets, per box of 100 |
43 |
39 |
$0.00 |
| 91304 |
|
12 |
12 |
$0.00 |