Medicaid Provider Spending

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

PHARMACY PLUS & SURGICAL SUPPLIES LLC

NPI: 1689986424 · HARRISON, NJ 07029 · Compounding Pharmacy · NPI assigned 07/09/2010

$6K
Total Medicaid Paid
790
Total Claims
331
Beneficiaries
4
Codes Billed
2022-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialBADER, KHALID (PHARMACIST-IN-CHARGE)
NPI Enumeration Date07/09/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 777 $6K
2023 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 552 208 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 22 20 $271.38
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 203 90 $224.00
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 13 13 $0.00