Supplier
Icp2 LLC
Icp2 LLC was paid $6K by Medicaid between Jan 2022 and Mar 2022, across 3 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 63% of everything it billed.
33Billing provider infoICP2 LLC
PATERSON, NJ 07503
PATERSON, NJ 07503
33aNPI1740780980assigned 02/14/2018
33bProvider typePharmacy
28Total paid$6K
24GClaims880
24DCodes billed3
24AFirst – last monthJan 2022 – Mar 2022
Compared with peers
Next to other Pharmacy providers in New Jersey
Rank by total paid#8 of 57
Median peer was paid$96.00
This provider vs. median59×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 880 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 63% | 315 | 142 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 35% | 240 | 172 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.2% | 325 | 142 | $128.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTAMMOUS, SAMIR (OWNER)