Medicaid Provider Spending

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

WATERVLIET PHARMACY ACQUISITION, LLC

NPI: 1144335183 · WATERVLIET, NY 12189 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/20/2006

$95K
Total Medicaid Paid
1,677
Total Claims
1,665
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-04
Last Month

Provider Details

Authorized OfficialHOTALING, DEBRA (DIRECTOR)
NPI Enumeration Date08/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,284 $62K
2019 343 $27K
2020 50 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 1,028 1,028 $83K
E0601 Continuous positive airway pressure (cpap) device 146 143 $4K
A7030 Full face mask used with positive airway pressure device, each 37 37 $2K
E0562 Humidifier, heated, used with positive airway pressure device 154 151 $2K
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing 73 73 $2K
A7038 Filter, disposable, used with positive airway pressure device 114 111 $330.71
A7037 Tubing used with positive airway pressure device 62 60 $312.26
A7035 Headgear used with positive airway pressure device 36 36 $284.72
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 15 14 $282.74
A7031 Face mask interface, replacement for full face mask, each 12 12 $245.62