MIDDLETOWN LTC PHARMACY LLC
NPI: 1063869238
· MIDDLETOWN, NY 10940
· 3336L0003X
$105K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
796 |
$57K |
| 2019 |
909 |
$19K |
| 2020 |
1,506 |
$17K |
| 2021 |
1,357 |
$5K |
| 2022 |
1,111 |
$3K |
| 2023 |
831 |
$3K |
| 2024 |
760 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4100 |
Food thickener oral |
928 |
902 |
$88K |
| J7626 |
Budesonide non-comp unit |
1,768 |
1,689 |
$7K |
| Q0513 |
Disp fee inhal drugs/30 days |
2,962 |
2,851 |
$5K |
| J7605 |
Arformoterol non-comp unit |
98 |
98 |
$2K |
| J7613 |
Albuterol non-comp unit |
973 |
834 |
$2K |
| J7620 |
Albuterol ipratrop non-comp |
491 |
431 |
$1K |
| E0570 |
Nebulizer with compression |
24 |
24 |
$24.94 |
| A6212 |
Foam drg <=16 sq in w/border |
26 |
24 |
$6.77 |