NPI: 1891771747 · BOISE, ID 83704 · Pharmacist · NPI assigned 12/21/2005
| Authorized Official | SHORTSLEEVE, HEATHER (CORPORATE DME SUPPORT SPECIALIST) |
| NPI Enumeration Date | 12/21/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 194 | $3K |
| 2021 | 29 | $323.97 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 136 | 117 | $2K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 44 | 39 | $1K |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | 13 | 12 | $279.30 |
| A4259 | Lancets, per box of 100 | 17 | 16 | $26.82 |
| A4245 | Alcohol wipes, per box | 13 | 12 | $19.80 |