LTC PRESCRIPTION PROVIDERS INC
NPI: 1962571810
· PROCTOR, MN 55810
· Pharmacy
· NPI assigned 11/07/2006
$817.53
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HOMMERDING, PHILIP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
95 |
$242.84 |
| 2020 |
41 |
$64.89 |
| 2021 |
52 |
$36.69 |
| 2022 |
41 |
$126.96 |
| 2023 |
101 |
$346.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
123 |
120 |
$474.18 |
| 91322 |
|
20 |
20 |
$127.39 |
| 90686 |
|
74 |
74 |
$93.62 |
| 0124A |
|
13 |
13 |
$81.00 |
| 90480 |
|
20 |
20 |
$41.34 |
| G0008 |
Administration of influenza virus vaccine |
80 |
80 |
$0.00 |