Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › YONKERS › VVSB PHARMACY INC

VVSB PHARMACY INC

NPI: 1255680104 · YONKERS, NY 10701 · Pharmacy · NPI assigned 09/06/2012

$151K
Total Medicaid Paid
2,190
Total Claims
2,150
Beneficiaries
6
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPAUL, JOSEPH (PHARMACY MANAGER)
NPI Enumeration Date09/06/2012

Related Entities

Other providers sharing the same authorized official: PAUL, JOSEPH

ProviderCityStateTotal Paid
MONTCLAIR ROAD IMAGING, LLC HOMEWOOD AL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 64 $3K
2021 68 $3K
2022 43 $2K
2023 694 $52K
2024 1,321 $90K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4554 Disposable underpads, all sizes 889 872 $44K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each 324 317 $37K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 259 253 $31K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 334 331 $30K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 135 134 $7K
A4927 Gloves, non-sterile, per 100 249 243 $1K