Medicaid Provider Spending

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

IBRAM PHARMACY INC

NPI: 1841616208 · STATEN ISLAND, NY 10305 · Community/Retail Pharmacy · NPI assigned 03/10/2014

$49K
Total Medicaid Paid
759
Total Claims
665
Beneficiaries
3
Codes Billed
2023-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOUSA, FEBY (PRESIDENT)
NPI Enumeration Date03/10/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 308 $20K
2024 451 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each 162 142 $28K
A4554 Disposable underpads, all sizes 256 225 $21K
A4927 Gloves, non-sterile, per 100 341 298 $1K