Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CONNECTICUT PHARMACY LLC

NPI: 1063757631 · NORWALK, CT 06851 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/07/2012

$6K
Total Medicaid Paid
117
Total Claims
102
Beneficiaries
3
Codes Billed
2023-10
First Month
2024-07
Last Month

Provider Details

Authorized OfficialWOLAK, SCOTT (PRESIDENT/CEO)
NPI Enumeration Date12/07/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 45 $2K
2024 72 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 89 78 $5K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 15 12 $930.73
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 13 12 $26.61