Medicaid Provider Spending

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

WAVERLY MARKETS, LLC

NPI: 1083754980 · MANCHESTER, CT 06040 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/08/2007

$2K
Total Medicaid Paid
105
Total Claims
98
Beneficiaries
3
Codes Billed
2019-08
First Month
2022-09
Last Month

Provider Details

Authorized OfficialFIGUEROA RIVERA, MELISSA (THIRD PARTY ADMINISTRATOR)
NPI Enumeration Date02/08/2007

Related Entities

Other providers sharing the same authorized official: FIGUEROA RIVERA, MELISSA

ProviderCityStateTotal Paid
VILLAGE SUPER MARKET OF NJ LP RIO GRANDE NJ $0.00
SAKER SHOPRITES INC HOWELL NJ $0.00
BERAT CORPORATION CLEMENTON NJ $0.00
BERAT CORPORATION WILLIAMSTOWN NJ $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 27 $894.42
2020 33 $1K
2022 45 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 60 53 $2K
90686 20 20 $0.00
G0008 Administration of influenza virus vaccine 25 25 $0.00