Medicaid Provider Spending

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

ADVANT EDGE PHARMACY, INC

NPI: 1477547552 · EL PASO, TX 79935 · Parenteral & Enteral Nutrition Supplies (DME) · NPI assigned 09/06/2005

$1K
Total Medicaid Paid
563
Total Claims
555
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialRIVAS, EUSTACIO (PRESIDENT)
NPI Enumeration Date09/06/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 368 $769.92
2019 170 $431.59
2020 25 $88.58

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 313 309 $1K
A4259 Lancets, per box of 100 250 246 $81.44