FIVE BOROUGH PAHRAMACY LLC
NPI: 1417432436
· JAMAICA, NY 11422
· 332B00000X
$2.07M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
453 |
$583K |
| 2019 |
710 |
$1.49M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4383 |
Urinary rubber pouch w/o fp |
437 |
399 |
$1.07M |
| A4380 |
Urinary rubber pouch w fcplt |
200 |
196 |
$614K |
| A4352 |
Coude tip urinary catheter |
155 |
142 |
$127K |
| A4357 |
Bedside drainage bag |
198 |
194 |
$127K |
| A4429 |
Urine ost pouch w bltinconv |
92 |
90 |
$122K |
| A4353 |
Intermittent urinary cath |
14 |
13 |
$10K |
| T4537 |
Reusable underpad bed size |
37 |
37 |
$2K |
| T4539 |
Reuse diaper/brief any size |
15 |
15 |
$565.00 |
| T4540 |
Reusable underpad chair size |
15 |
15 |
$323.55 |