Medicaid Provider Spending

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

ELMASRI INCORPORATED

NPI: 1184394983 · NEW BRUNSWICK, NJ 08901 · Community/Retail Pharmacy · NPI assigned 09/14/2021

$2K
Total Medicaid Paid
221
Total Claims
192
Beneficiaries
4
Codes Billed
2021-12
First Month
2022-09
Last Month

Provider Details

Authorized OfficialELMASRI, SHERIF (PRESIDENT)
NPI Enumeration Date09/14/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 119 $513.26
2022 102 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 96 84 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 87 80 $12.56
G0008 Administration of influenza virus vaccine 19 14 $0.00
90694 19 14 $0.00