SOUTHERN OHIO MEDICAL CENTER
NPI: 1962861047
· PORTSMOUTH, OH 45662
· Pharmacy
· NPI assigned 02/17/2016
$489.48
Total Medicaid Paid
Provider Details
| Authorized Official | PHILLIPS, RORY (DIRECTOR OF PHARMACY AND RESPIRATOR) |
| NPI Enumeration Date | 02/17/2016 |
Related Entities
Other providers sharing the same authorized official: PHILLIPS, RORY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
18 |
$489.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
18 |
13 |
$489.48 |