Medicaid Provider Spending

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

HENDRIX PHARMA CORP

NPI: 1386316909 · STATEN ISLAND, NY 10301 · Community/Retail Pharmacy · NPI assigned 10/01/2021

$872.27
Total Medicaid Paid
54
Total Claims
54
Beneficiaries
4
Codes Billed
2022-08
First Month
2022-08
Last Month

Provider Details

Authorized OfficialERFAN, ALI (OWNER)
NPI Enumeration Date10/01/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 54 $872.27

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 14 14 $513.10
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 13 $359.17
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 13 13 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $0.00