GLENDALE PRESCRIPTION CENTER INC
NPI: 1598760639
· PHILADELPHIA, PA 19152
· Long Term Care Pharmacy
· NPI assigned 06/16/2005
$105K
Total Medicaid Paid
1,281
Beneficiary Records
Provider Details
| Authorized Official | TAMMARA, STEVE (PHARMACIST OWNER) |
| NPI Enumeration Date | 06/16/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
514 |
$28K |
| 2019 |
455 |
$24K |
| 2020 |
467 |
$25K |
| 2021 |
364 |
$20K |
| 2022 |
142 |
$8K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
1,760 |
1,161 |
$95K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
182 |
120 |
$10K |