Medicaid Provider Spending

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

HCOR SPECIALTY PHARMACY LLC

NPI: 1508357989 · FOREST HILLS, NY 11375 · Compounding Pharmacy · NPI assigned 05/22/2018

$45.75
Total Medicaid Paid
23
Total Claims
22
Beneficiaries
1
Codes Billed
2021-12
First Month
2021-12
Last Month

Provider Details

Authorized OfficialZAVULUNOV, STANISLAV (MANAGING MEMBER)
NPI Enumeration Date05/22/2018

Related Entities

Other providers sharing the same authorized official: ZAVULUNOV, STANISLAV

ProviderCityStateTotal Paid
LAKE SUCCESS RX CORP NEW HYDE PARK NY $466.32
LITTLE NECK RX CORP LITTLE NECK NY $98.77

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 23 $45.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 23 22 $45.75