PELHAM COMMUNITY PHARMACY, INC
NPI: 1598889172
· WALTHAM, MA 02451
· Pharmacy
· NPI assigned 03/19/2007
$102K
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, BHUREN (OWNER) |
| NPI Enumeration Date | 03/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
252 |
$10K |
| 2022 |
18,140 |
$59K |
| 2023 |
3,519 |
$30K |
| 2024 |
101 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4927 |
Gloves, non-sterile, per 100 |
2,095 |
2,061 |
$77K |
| 87635 |
|
6,125 |
1,152 |
$20K |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
6,227 |
1,143 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,776 |
1,233 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
180 |
180 |
$0.00 |
| 87426 |
|
438 |
118 |
$0.00 |
| 90686 |
|
126 |
126 |
$0.00 |
| 90694 |
|
45 |
45 |
$0.00 |