KIRYAS JOEL PHARMACY INC
NPI: 1215973136
· MONROE, NY 10950
· 332B00000X
$211K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
656 |
$15K |
| 2019 |
603 |
$15K |
| 2020 |
340 |
$10K |
| 2021 |
234 |
$11K |
| 2022 |
38 |
$2K |
| 2023 |
1,240 |
$71K |
| 2024 |
1,654 |
$87K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer with compression |
826 |
823 |
$65K |
| T4533 |
Youth size brief/diaper |
1,267 |
1,233 |
$63K |
| A4554 |
Disposable underpads |
749 |
680 |
$32K |
| T4521 |
Adult size brief/diaper sm |
595 |
582 |
$23K |
| T4522 |
Adult size brief/diaper med |
224 |
214 |
$14K |
| E0605 |
Vaporizer room type |
588 |
588 |
$7K |
| T4523 |
Adult size brief/diaper lg |
68 |
61 |
$5K |
| A4927 |
Non-sterile gloves |
372 |
348 |
$2K |
| A4253 |
Blood glucose/reagent strips |
64 |
64 |
$500.03 |
| A4259 |
Lancets per box |
12 |
12 |
$8.80 |