Medicaid Provider Spending

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

KEDVON PHARMACY INC

NPI: 1861489353 · WHEELING, IL 60090 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/30/2005

$57K
Total Medicaid Paid
995
Total Claims
984
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialKOROL, VLADLENA (OWNER)
NPI Enumeration Date09/30/2005

Related Entities

Other providers sharing the same authorized official: KOROL, VLADLENA

ProviderCityStateTotal Paid
KEDVON PHARMACY SOLUTIONS, INC. WHEELING IL $882K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 643 $40K
2019 352 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 404 403 $20K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 208 204 $19K
T4541 Incontinence product, disposable underpad, large, each 246 244 $17K
A4927 Gloves, non-sterile, per 100 137 133 $2K