HANCOCK PHARMACY VII LLC
NPI: 1629396403
· NEW HAVEN, CT 06513
· Community/Retail Pharmacy
· NPI assigned 05/04/2010
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | PASUPULETI, LALITHA (MEMBER / PHARMACIST IN CHARGE (PIC)) |
| NPI Enumeration Date | 05/04/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,148 |
$42K |
| 2019 |
642 |
$25K |
| 2020 |
1,138 |
$46K |
| 2021 |
86 |
$3K |
| 2022 |
30 |
$1K |
| 2023 |
12 |
$455.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,779 |
1,681 |
$90K |
| A4670 |
Automatic blood pressure monitor |
306 |
291 |
$15K |
| A4259 |
Lancets, per box of 100 |
919 |
880 |
$8K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
40 |
38 |
$4K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
12 |
12 |
$562.70 |