GSP PHARMACY INC
NPI: 1225074776
· EAST ORANGE, NJ 07017
· Pharmacy
· NPI assigned 06/22/2006
$757.92
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, PINAL (PHARMASIT) |
| NPI Enumeration Date | 06/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
60 |
$171.72 |
| 2021 |
160 |
$573.56 |
| 2022 |
158 |
$0.00 |
| 2023 |
70 |
$3.32 |
| 2024 |
67 |
$9.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
346 |
330 |
$724.80 |
| A4259 |
Lancets, per box of 100 |
28 |
28 |
$33.12 |
| 90661 |
|
20 |
20 |
$0.00 |
| 0013A |
|
20 |
20 |
$0.00 |
| 90674 |
|
20 |
20 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |
| 0064A |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
40 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |