Medicaid Provider Spending

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

SUNSET CORNER PHARMACY INC

NPI: 1518425362 · BROOKLYN, NY 11220 · Community/Retail Pharmacy · NPI assigned 03/11/2019

$35K
Total Medicaid Paid
1,221
Total Claims
1,103
Beneficiaries
5
Codes Billed
2021-12
First Month
2022-01
Last Month

Provider Details

Authorized OfficialELHADIDY, RADWA (PRESIDENT)
NPI Enumeration Date03/11/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,167 $34K
2022 54 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 403 360 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 385 345 $16K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 363 328 $898.17
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 50 50 $38.90
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 20 20 $12.56