HEDGEMARK BRENTWOOD PHARMACY, INC.
NPI: 1649250333
· CHARLESTON, SC 29407
· 332BC3200X
$129K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
874 |
$32K |
| 2019 |
684 |
$16K |
| 2020 |
744 |
$28K |
| 2021 |
403 |
$12K |
| 2022 |
334 |
$10K |
| 2023 |
559 |
$16K |
| 2024 |
861 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,105 |
1,041 |
$50K |
| A4554 |
Disposable underpads |
746 |
558 |
$26K |
| T5999 |
Supply, nos |
1,382 |
706 |
$19K |
| T2028 |
Special supply, nos waiver |
47 |
41 |
$9K |
| X1922 |
|
26 |
24 |
$9K |
| K0001 |
Standard wheelchair |
347 |
305 |
$7K |
| E0260 |
Hosp bed semi-electr w/ matt |
27 |
25 |
$3K |
| A7038 |
Pos airway pressure filter |
436 |
419 |
$2K |
| A4927 |
Non-sterile gloves |
127 |
73 |
$2K |
| K0195 |
Elevating whlchair leg rests |
199 |
191 |
$2K |
| A7035 |
Pos airway press headgear |
17 |
12 |
$249.02 |