Medicaid Provider Spending

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

53 PHARMACY INC.

NPI: 1720593304 · BROOKLYN, NY 11220 · Community/Retail Pharmacy · NPI assigned 12/05/2017

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

Provider Details

Authorized OfficialLI, JIN (PRESIDENT)
NPI Enumeration Date12/05/2017

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L1971 Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment 75 44 $5K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 57 30 $2K
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 34 17 $725.57