BRIDGEPORT PHARMACY LLC
NPI: 1588821789
· BRIDGEPORT, CT 06608
· 333600000X
$267K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,891 |
$99K |
| 2019 |
2,120 |
$65K |
| 2020 |
1,969 |
$73K |
| 2021 |
139 |
$3K |
| 2022 |
140 |
$5K |
| 2023 |
351 |
$14K |
| 2024 |
218 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
4,132 |
3,729 |
$194K |
| E0570 |
Nebulizer with compression |
517 |
514 |
$27K |
| A4259 |
Lancets per box |
2,659 |
2,449 |
$23K |
| T4528 |
Adult size pull-on xl |
175 |
143 |
$15K |
| A4670 |
Automatic bp monitor, dial |
65 |
64 |
$4K |
| E0560 |
Humidifier supplemental w/ i |
19 |
17 |
$2K |
| T4535 |
Disposable liner/shield/pad |
38 |
36 |
$1K |
| E0605 |
Vaporizer room type |
25 |
25 |
$539.28 |
| A7003 |
Nebulizer administration set |
198 |
197 |
$452.02 |