Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
NJ
›
OLD BRIDGE
› VIRISAAR PHARMACY INC
VIRISAAR PHARMACY INC
NPI: 1831278506 · OLD BRIDGE, NJ 08857 ·
Pharmacy
· NPI assigned 11/03/2006
$154.08
Total Medicaid Paid
121
Total Claims
117
Beneficiaries
6
Codes Billed
2021-11
First Month
2024-05
Last Month
Provider Details
Authorized Official
TAVVA, KIRAN
(VICE-PRESIDENT)
NPI Enumeration Date
11/03/2006
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
12
$0.00
2022
91
$139.30
2024
18
$14.78
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0064A
34
34
$65.30
0054A
17
17
$40.00
0134A
22
22
$34.00
A4253
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
18
14
$14.78
0124A
18
18
$0.00
0013A
12
12
$0.00