Medicaid Provider Spending

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

CHURCH AVE PHARMACY INC

NPI: 1700114790 · BROOKLYN, NY 11226 · Pharmacy · NPI assigned 12/02/2009

$523.46
Total Medicaid Paid
14
Total Claims
13
Beneficiaries
1
Codes Billed
2023-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialBUBIS, YEFIM (SUPERVISOR PHARMACIST)
NPI Enumeration Date12/02/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 14 $523.46

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 14 13 $523.46