Medicaid Provider Spending

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

NPI: 1194264820 · HARTFORD, CT 06106 · Pharmacy · NPI assigned 02/14/2017

$21K
Total Medicaid Paid
575
Total Claims
544
Beneficiary Records
2
Codes Billed
2019-09
First Month
2020-10
Last Month

Provider Details

Authorized OfficialDHULIPALL, PRAVEEN (V. PRESIDENT)
NPI Enumeration Date02/14/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 200 $8K
2020 375 $14K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 421 396 $20K
A4259 Lancets, per box of 100 154 148 $1K