Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BROOKLYN › 21 AVE PHARMACY & MEDICAL SUPPLY INC.

21 AVE PHARMACY & MEDICAL SUPPLY INC.

NPI: 1215127576 · BROOKLYN, NY 11214 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/01/2007

$29K
Total Medicaid Paid
818
Total Claims
810
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-02
Last Month

Provider Details

Authorized OfficialSHAREEF, MASOODA (PRESIDENT)
NPI Enumeration Date08/01/2007

Related Entities

Other providers sharing the same authorized official: SHAREEF, MASOODA

ProviderCityStateTotal Paid
AAA DRUGS INC ROSEDALE NY $457.68
AAA GPO INC VALLEY STREAM NY $412.96

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 128 $5K
2019 244 $8K
2020 380 $14K
2021 66 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 566 558 $19K
A4554 Disposable underpads, all sizes 226 226 $8K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 26 26 $2K