Medicaid Provider Spending

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

SUPER PHARMACY LLC

NPI: 1548308562 · WASHINGTON, DC 20002 · 332B00000X

$274K
Total Medicaid Paid
4,254
Total Claims
4,046
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 602 $31K
2019 1,030 $70K
2020 820 $65K
2021 707 $55K
2022 405 $22K
2023 375 $19K
2024 315 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4554 Disposable underpads 959 918 $91K
T4523 Adult size brief/diaper lg 497 467 $78K
A4245 Alcohol wipes per box 1,153 1,086 $41K
A4927 Non-sterile gloves 1,291 1,238 $32K
T4524 Adult size brief/diaper xl 122 121 $24K
T4522 Adult size brief/diaper med 69 67 $8K
A4253 Blood glucose/reagent strips 163 149 $182.49