NPI: 1912572942 · SACRAMENTO, CA 95834 · Infusion Therapy Clinic/Center · NPI assigned 05/21/2021
| Authorized Official | MILLER, ISAAC (DIRECTOR/PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 05/21/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 27 | $132.23 |
| 2023 | 181 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S9500 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 181 | 53 | $30K |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 27 | 12 | $132.23 |