Medicaid Provider Spending

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

53 PHARMACY INC.

NPI: 1720593304 · BROOKLYN, NY 11220 · 3336C0003X

$7K
Total Medicaid Paid
166
Total Claims
91
Beneficiaries
3
Codes Billed
2022-02
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 96 $5K
2023 70 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L1971 Afo w/ankle joint, prefab 75 44 $5K
L3809 Whfo w/o joints pre ots 57 30 $2K
L1820 Ko elas w/ condyle pads & jo 34 17 $725.57