Medicaid Provider Spending

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

J.J. VALLEY DRUG INC

NPI: 1508398934 · SPRING VALLEY, NY 10977 · Community/Retail Pharmacy · NPI assigned 04/03/2017

$94K
Total Medicaid Paid
1,323
Total Claims
1,301
Beneficiaries
3
Codes Billed
2023-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPICHARDO, JOSE (VICE PRESIDENT)
NPI Enumeration Date04/03/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 387 $29K
2024 936 $64K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4533 Youth sized disposable incontinence product, brief/diaper, each 824 815 $74K
A4554 Disposable underpads, all sizes 343 334 $17K
A6447 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard 156 152 $3K