POUDRE INFUSION THERAPY LLC
NPI: 1912909987
· FORT COLLINS, CO 80526
· Specialty Pharmacy
· NPI assigned 08/10/2005
$390K
Total Medicaid Paid
Provider Details
| Authorized Official | FANCHER, BARRY (CFO/COO) |
| NPI Enumeration Date | 08/10/2005 |
Related Entities
Other providers sharing the same authorized official: FANCHER, BARRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
304 |
$19K |
| 2021 |
899 |
$33K |
| 2022 |
1,030 |
$81K |
| 2023 |
979 |
$151K |
| 2024 |
686 |
$106K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
1,911 |
1,096 |
$347K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
1,738 |
1,023 |
$43K |
| 99601 |
|
192 |
89 |
$0.00 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
57 |
14 |
$0.00 |