MT. CARMEL PHARMACY INC
NPI: 1225125628
· BRONX, NY 10458
· 333600000X
$582K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
513 |
$37K |
| 2019 |
826 |
$56K |
| 2020 |
798 |
$56K |
| 2021 |
686 |
$57K |
| 2022 |
752 |
$63K |
| 2023 |
1,948 |
$156K |
| 2024 |
1,913 |
$158K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads |
2,938 |
2,865 |
$192K |
| T4533 |
Youth size brief/diaper |
2,065 |
2,026 |
$183K |
| T4522 |
Adult size brief/diaper med |
958 |
938 |
$106K |
| T4523 |
Adult size brief/diaper lg |
252 |
245 |
$37K |
| T4521 |
Adult size brief/diaper sm |
279 |
272 |
$30K |
| T4537 |
Reusable underpad bed size |
432 |
419 |
$12K |
| T4530 |
Ped size brief/diaper lg |
98 |
96 |
$8K |
| B4035 |
Enteral feed supp pump per d |
37 |
37 |
$6K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
28 |
24 |
$6K |
| T4524 |
Adult size brief/diaper xl |
12 |
12 |
$2K |
| A4927 |
Non-sterile gloves |
310 |
287 |
$1K |
| A6402 |
Sterile gauze <= 16 sq in |
14 |
13 |
$222.30 |
| 0124A |
|
13 |
13 |
$0.00 |