Medicaid Provider Spending

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

SVRH PHARMACY INC

NPI: 1619958386 · BROOKLYN, NY 11201 · Pharmacist · NPI assigned 11/09/2005

$2K
Total Medicaid Paid
569
Total Claims
563
Beneficiaries
3
Codes Billed
2018-03
First Month
2020-09
Last Month

Provider Details

Authorized OfficialMADDULA, SURYANARAYANA (PHARMACIST)
NPI Enumeration Date11/09/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 65 $245.65
2019 283 $1K
2020 221 $519.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4259 Lancets, per box of 100 300 298 $1K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 107 106 $589.10
A4245 Alcohol wipes, per box 162 159 $45.94