Medicaid Provider Spending

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

SV WELLNESS PHARMACY INC.

NPI: 1568942860 · BROOKLYN, NY 11204 · Community/Retail Pharmacy · NPI assigned 08/16/2018

$4K
Total Medicaid Paid
114
Total Claims
107
Beneficiaries
3
Codes Billed
2022-08
First Month
2022-10
Last Month

Provider Details

Authorized OfficialGUO, BEI (PRESIDENT)
NPI Enumeration Date08/16/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 114 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 51 50 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 46 40 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 17 $410.48