Supplier
Virisaar Pharmacy INC
Virisaar Pharmacy INC was paid $154.08 by Medicaid between Nov 2021 and May 2024, across 6 billing codes. Its largest line is 0064A, — 42% of everything it billed.
33Billing provider infoVIRISAAR PHARMACY INC
OLD BRIDGE, NJ 08857
OLD BRIDGE, NJ 08857
33aNPI1831278506assigned 11/03/2006
33bProvider typePharmacy
28Total paid$154.08
24GClaims121
24DCodes billed6
24AFirst – last monthNov 2021 – May 2024
Compared with peers
Next to other Pharmacy providers in New Jersey
Rank by total paid#28 of 57
Median peer was paid$96.00
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2021 | 12 | $0.00 | |
| 2022 | 91 | $139.30 | |
| 2024incomplete | 18 | $14.78 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0064A | 42% | 34 | 34 | $65.30 | |
| 0054A | 26% | 17 | 17 | $40.00 | |
| 0134A | 22% | 22 | 22 | $34.00 | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 9.6% | 18 | 14 | $14.78 |
| 0124A | 0% | 18 | 18 | $0.00 | |
| 0013A | 0% | 12 | 12 | $0.00 |
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 officialTAVVA, KIRAN (VICE-PRESIDENT)