Medicaid Provider Spending

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

MT VERNON PHARMACY AT FALLSWAY INC

NPI: 1417264458 · BALTIMORE, MD 21202 · Specialty Pharmacy · NPI assigned 09/13/2010

$5K
Total Medicaid Paid
1,283
Total Claims
1,148
Beneficiaries
2
Codes Billed
2018-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWIENNER, STEPHEN (PRESIDENT)
NPI Enumeration Date09/13/2010

Related Entities

Other providers sharing the same authorized official: WIENNER, STEPHEN

ProviderCityStateTotal Paid
WIENNER INC BALTIMORE MD $58.60

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33 $113.67
2019 365 $782.33
2020 148 $649.32
2021 165 $793.69
2022 340 $1K
2023 206 $1K
2024 26 $222.93

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 1,104 988 $5K
A4259 Lancets, per box of 100 179 160 $115.88