Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TAMAV IRINI INC

NPI: 1386250025 · GARWOOD, NJ 07027 · Community/Retail Pharmacy · NPI assigned 09/18/2020

$3K
Total Medicaid Paid
393
Total Claims
192
Beneficiaries
4
Codes Billed
2021-12
First Month
2023-09
Last Month

Provider Details

Authorized OfficialISAAC, LUCY (OWNER)
NPI Enumeration Date09/18/2020

Related Entities

Other providers sharing the same authorized official: ISAAC, LUCY

ProviderCityStateTotal Paid
TRI TOWN PHARMACY LLC WOODLAND PARK NJ $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 203 $2K
2022 96 $1K
2023 94 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 165 80 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 134 67 $48.00
90694 35 19 $0.00
G0008 Administration of influenza virus vaccine 59 26 $0.00