Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › PASSAIC › SHREE GANESH PHARMACY LLC

SHREE GANESH PHARMACY LLC

NPI: 1487060109 · PASSAIC, NJ 07055 · Pharmacy · NPI assigned 07/02/2014

$17K
Total Medicaid Paid
2,577
Total Claims
1,105
Beneficiary Records
4
Codes Billed
2021-11
First Month
2022-11
Last Month

Provider Details

Authorized OfficialPATEL, JIGNA (MEMBER)
NPI Enumeration Date07/02/2014

Related Entities

Other providers sharing the same authorized official: PATEL, JIGNA

ProviderCityStateTotal Paid
NIDHESHA LLC LANCASTER PA $38K
WILSON FAMILY PHARMACY INC OWENSBORO KY $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 19 $0.00
2022 2,558 $17K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,518 577 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 804 362 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 236 148 $1K
0013A 19 18 $0.00