Medicaid Provider Spending

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

GARDEN STATE INFUSIONS LLC

NPI: 1689264145 · WEST NEW YORK, NJ 07093 · Clinic/Center · NPI assigned 01/19/2021

$346K
Total Medicaid Paid
28,412
Total Claims
19,884
Beneficiaries
12
Codes Billed
2021-03
First Month
2024-01
Last Month

Provider Details

Authorized OfficialSANFILIPPO, LAUTARO (DIRECTOR)
NPI Enumeration Date01/19/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 4,990 $81K
2022 19,264 $222K
2023 4,099 $43K
2024 59 $100.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,881 5,186 $183K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 7,413 4,751 $83K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 714 600 $33K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,271 2,199 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,573 3,067 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,009 2,691 $6K
86769 776 684 $2K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 96 87 $325.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 66 56 $90.46
36415 Collection of venous blood by venipuncture 566 531 $7.20
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 20 18 $0.00
86413 27 14 $0.00