STELTON PHARMACY INC
NPI: 1790839140
· PISCATAWAY, NJ 08854
· Pharmacy
· NPI assigned 01/23/2007
$485.55
Total Medicaid Paid
Provider Details
| Authorized Official | BUCH, AMY (PRES AND PIC) |
| NPI Enumeration Date | 01/23/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$24.96 |
| 2021 |
199 |
$460.59 |
| 2022 |
145 |
$0.00 |
| 2023 |
96 |
$0.00 |
| 2024 |
30 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
231 |
219 |
$448.87 |
| A4259 |
Lancets, per box of 100 |
40 |
39 |
$36.68 |
| 90653 |
|
15 |
15 |
$0.00 |
| 90694 |
|
58 |
58 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
100 |
100 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
52 |
49 |
$0.00 |