Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › WATERBURY › WATERBURY PHARMACY LLC

WATERBURY PHARMACY LLC

NPI: 1487898060 · WATERBURY, CT 06702 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/27/2009

$129K
Total Medicaid Paid
4,259
Total Claims
3,994
Beneficiaries
3
Codes Billed
2018-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialDHULIPALLA, PRAVEEN (MANAGER)
NPI Enumeration Date04/27/2009

Related Entities

Other providers sharing the same authorized official: DHULIPALLA, PRAVEEN

ProviderCityStateTotal Paid
HARTFORD PHARMACY, INC. HARTFORD CT $92K
COMMUNITY CARE PHARMACY INC HARTFORD CT $34K
COMMUNITY PHARMACY INC EAST HARTFORD CT $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,426 $41K
2019 1,340 $40K
2020 1,363 $47K
2021 115 $529.47
2022 15 $49.93

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 2,699 2,516 $116K
A4259 Lancets, per box of 100 1,547 1,466 $12K
E0570 Nebulizer, with compressor 13 12 $467.20