NPI: 1992704183 · GRETNA, VA 24557 · 332BX2000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 472 | $4K |
| 2019 | 70 | $682.10 |
| 2021 | 49 | $330.82 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0570 | Nebulizer with compression | 181 | 134 | $4K |
| A4253 | Blood glucose/reagent strips | 315 | 218 | $621.37 |
| 0003A | 13 | 13 | $240.00 | |
| 0001A | 19 | 19 | $50.82 | |
| 0013A | 17 | 16 | $40.00 | |
| Q0513 | Disp fee inhal drugs/30 days | 14 | 12 | $39.60 |
| A4259 | Lancets per box | 18 | 14 | $3.63 |
| G0008 | Admin influenza virus vac | 14 | 14 | $0.00 |