Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › SURFSIDE BEACH › OCEAN LAKES PHARMACY INC

OCEAN LAKES PHARMACY INC

NPI: 1316020589 · SURFSIDE BEACH, SC 29575 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/23/2006

$204K
Total Medicaid Paid
9,135
Total Claims
8,950
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILLIAMS, ROGER (OWNER)
NPI Enumeration Date10/23/2006

Related Entities

Other providers sharing the same authorized official: WILLIAMS, ROGER

ProviderCityStateTotal Paid
LIBERTY ADDICTION RECOVERY CENTERS LLC HIGHLAND UT $344K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
A4554 Disposable underpads, all sizes 2,350 2,341 $79K
X1939 621 620 $41K
T5999 Supply, not otherwise specified 4,916 4,754 $38K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 832 819 $25K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 386 386 $20K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 18 18 $2K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 12 12 $748.80