SSACT RX INC
NPI: 1093139172
· NEW BRITAIN, CT 06051
· Pharmacy
· NPI assigned 02/10/2014
$156K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: NALLAPAREDDYGARI, SREENIVASA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,127 |
$47K |
| 2019 |
1,087 |
$44K |
| 2020 |
1,269 |
$57K |
| 2021 |
137 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,941 |
1,809 |
$130K |
| A4259 |
Lancets, per box of 100 |
1,494 |
1,394 |
$17K |
| A4670 |
Automatic blood pressure monitor |
168 |
160 |
$8K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
17 |
12 |
$1K |