Medicaid Provider Spending

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

MEDICAL SHOPPE LTD

NPI: 1578562708 · HONESDALE, PA 18431 · Pharmacy · NPI assigned 07/19/2005

$18K
Total Medicaid Paid
618
Total Claims
607
Beneficiaries
3
Codes Billed
2020-11
First Month
2023-01
Last Month

Provider Details

Authorized OfficialSTEPHENS, JUDITH (PRESIDENT)
NPI Enumeration Date07/19/2005

Related Entities

Other providers sharing the same authorized official: STEPHENS, JUDITH

ProviderCityStateTotal Paid
MEDICAL SHOPPE LTD HONESDALE PA $789K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 114 $2K
2021 375 $11K
2022 117 $4K
2023 12 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 423 414 $16K
E0601 Continuous positive airway pressure (cpap) device 41 41 $1K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 154 152 $1K