NPI: 1942365002 · PUEBLO, CO 81004 · Pharmacist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $521.90 |
| 2019 | 13 | $622.85 |
| 2020 | 12 | $598.00 |
| 2021 | 673 | $22K |
| 2022 | 173 | $7K |
| 2023 | 29 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 175 | 172 | $6K | |
| 0012A | 147 | 143 | $6K | |
| 0013A | 145 | 141 | $5K | |
| A4772 | Blood glucose test strips, for dialysis, per 50 | 64 | 62 | $3K |
| 0003A | 72 | 70 | $3K | |
| 0004A | 41 | 39 | $2K | |
| 0124A | 23 | 23 | $1K | |
| 90686 | 77 | 76 | $1K | |
| 0002A | 41 | 35 | $1K | |
| 0031A | 18 | 18 | $900.00 | |
| 90682 | 16 | 15 | $862.40 | |
| 91320 | 13 | 13 | $845.00 | |
| 0001A | 68 | 43 | $628.21 | |
| 0134A | 12 | 12 | $600.00 |