Medicaid Provider Spending

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

TRI TOWN PHARMACY LLC

NPI: 1073163291 · WOODLAND PARK, NJ 07424 · Community/Retail Pharmacy · NPI assigned 09/19/2019

$2K
Total Medicaid Paid
372
Total Claims
239
Beneficiaries
2
Codes Billed
2021-11
First Month
2022-01
Last Month

Provider Details

Authorized OfficialISAAC, LUCY (OWNER)
NPI Enumeration Date09/19/2019

Related Entities

Other providers sharing the same authorized official: ISAAC, LUCY

ProviderCityStateTotal Paid
TAMAV IRINI INC GARWOOD NJ $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 175 $1K
2022 197 $612.57

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 261 172 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 111 67 $96.00