Supplier
Grand Street Pharmaceutical LLC
Grand Street Pharmaceutical LLC was paid $535K by Medicaid between Jun 2023 and Nov 2024, across 12 billing codes. Its largest line is L3030, Foot, insert, removable, formed to patient foot, each — 31% of everything it billed.
33Billing provider infoGRAND STREET PHARMACEUTICAL LLC
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1639255599assigned 10/31/2006
33bProvider typeSpecialty Pharmacy
28Total paid$535K
24GClaims10,756
24DCodes billed12
24AFirst – last monthJun 2023 – Nov 2024
Compared with peers
Next to other Specialty Pharmacy providers in New York
Rank by total paid#1 of 11
Median peer was paid$27K
This provider vs. median20×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 4,667 | $225K | |
| 2024incomplete | 6,089 | $309K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3030 | Foot, insert, removable, formed to patient foot, each | 31% | 3,552 | 1,777 | $167K |
| L1906 | Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf | 22% | 2,237 | 1,127 | $116K |
| L3216 | Orthopedic footwear, ladies shoe, depth inlay, each | 11% | 1,894 | 947 | $59K |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 9.0% | 459 | 231 | $48K |
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each | 8.7% | 1,265 | 633 | $46K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 8.3% | 638 | 323 | $44K |
| L0642 | Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 6.9% | 198 | 198 | $37K |
| L3710 | Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf | 1.3% | 129 | 65 | $7K |
| L3206 | Orthopedic shoe, hightop with supinator or pronator, child | 1.1% | 236 | 118 | $6K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | <1% | 62 | 31 | $2K |
| L1971 | Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment | <1% | 24 | 12 | $1K |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | <1% | 62 | 31 | $990.82 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCEN LIU, JENNY (MANAGING MEMBER)