OCEAN LAKES PHARMACY INC
NPI: 1316020589
· SURFSIDE BEACH, SC 29575
· 332B00000X
$204K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
606 |
$11K |
| 2019 |
1,122 |
$26K |
| 2020 |
1,793 |
$43K |
| 2021 |
1,688 |
$36K |
| 2022 |
1,607 |
$40K |
| 2023 |
1,178 |
$23K |
| 2024 |
1,141 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4554 |
Disposable underpads |
2,350 |
2,341 |
$79K |
| X1939 |
|
621 |
620 |
$41K |
| T5999 |
Supply, nos |
4,916 |
4,754 |
$38K |
| T4535 |
Disposable liner/shield/pad |
832 |
819 |
$25K |
| T4527 |
Adult size pull-on lg |
386 |
386 |
$20K |
| T4523 |
Adult size brief/diaper lg |
18 |
18 |
$2K |
| T4528 |
Adult size pull-on xl |
12 |
12 |
$748.80 |