Medicaid Provider Spending

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

BELLA VISTA PHARMACY INC

NPI: 1396885836 · NEW HAVEN, CT 06513 · Pharmacy · NPI assigned 02/07/2007

$18K
Total Medicaid Paid
602
Total Claims
586
Beneficiary Records
1
Codes Billed
2018-01
First Month
2022-02
Last Month

Provider Details

Authorized OfficialBEAUDOIN, ROGER (PHARMACY MANAGER)
NPI Enumeration Date02/07/2007

Related Entities

Other providers sharing the same authorized official: BEAUDOIN, ROGER

ProviderCityStateTotal Paid
AEV INC EAST HAVEN CT $76K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 172 $5K
2019 192 $7K
2020 147 $5K
2021 67 $1K
2022 24 $386.05

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 602 586 $18K