Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › WEST SENECA › UPSTATE PHARMACY LTD

UPSTATE PHARMACY LTD

NPI: 1033221031 · WEST SENECA, NY 14224 · 333600000X

$99K
Total Medicaid Paid
4,503
Total Claims
4,080
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 997 $43K
2019 1,264 $35K
2020 1,073 $17K
2021 488 $3K
2022 310 $659.83
2023 148 $603.74
2024 223 $429.02

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
B4100 Food thickener oral 1,461 1,247 $91K
A4253 Blood glucose/reagent strips 653 639 $3K
Q0513 Disp fee inhal drugs/30 days 1,504 1,449 $3K
J7626 Budesonide non-comp unit 833 695 $3K
J7620 Albuterol ipratrop non-comp 52 50 $209.76