Medicaid Provider Spending

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

HANCOCK PHARMACY II LLC

NPI: 1154645356 · BRIDGEPORT, CT 06605 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/17/2010

Deactivated NPI · This NPI was deactivated on 11/06/2020. Reactivated 11/20/2020.
$61K
Total Medicaid Paid
1,785
Total Claims
1,743
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialDEVADI, RAMA (PHARMACY MANAGER AKA SP)
NPI Enumeration Date03/17/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 517 $17K
2019 609 $20K
2020 620 $23K
2021 39 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 951 927 $41K
A4670 Automatic blood pressure monitor 156 155 $9K
E0210 Electric heat pad, standard 331 317 $8K
A4259 Lancets, per box of 100 329 326 $3K
E0605 Vaporizer, room type 18 18 $337.05