Medicaid Provider Spending

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

ICP2 LLC

NPI: 1740780980 · PATERSON, NJ 07503 · Pharmacy · NPI assigned 02/14/2018

$6K
Total Medicaid Paid
880
Total Claims
456
Beneficiaries
3
Codes Billed
2022-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialTAMMOUS, SAMIR (OWNER)
NPI Enumeration Date02/14/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 880 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 315 142 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 240 172 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 325 142 $128.00