Medicaid Provider Spending

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

NY NORTHERN PHARMACY, LLC

NPI: 1598805533 · FLUSHING, NY 11358 · Community/Retail Pharmacy · NPI assigned 02/07/2007

$243.95
Total Medicaid Paid
74
Total Claims
65
Beneficiaries
1
Codes Billed
2018-03
First Month
2018-11
Last Month

Provider Details

Authorized OfficialJUNG, DOSUNG (SUPERVISING PHARMACIST)
NPI Enumeration Date02/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 74 $243.95

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 74 65 $243.95