Medicaid Provider Spending

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

LONDON VALU RITE PHARMACY, INC

NPI: 1407869571 · MONTICELLO, KY 42633 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/13/2006

$2K
Total Medicaid Paid
1,421
Total Claims
1,241
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialSTATON, JAMES (VICE PRESIDENT, PHARMACY OPERATIONS)
Parent OrganizationADDICTION RECOVERY CARE LLC
NPI Enumeration Date08/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 616 $770.05
2019 805 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 902 765 $1K
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 134 126 $508.20
A4259 Lancets, per box of 100 385 350 $88.94