BERGEN CARE PHARMACY INC
NPI: 1861859092
· FORT LEE, NJ 07024
· 332B00000X
$133K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
84 |
$0.00 |
| 2020 |
66 |
$0.00 |
| 2022 |
447 |
$34K |
| 2023 |
990 |
$17K |
| 2024 |
3,468 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3216 |
Orthoped ladies shoes dpth i |
1,413 |
413 |
$59K |
| L3221 |
Orthopedic mens shoes dpth i |
837 |
245 |
$36K |
| T4522 |
Adult size brief/diaper med |
447 |
354 |
$34K |
| L3030 |
Foot arch support remov prem |
1,196 |
543 |
$2K |
| A5512 |
Multi den insert direct form |
468 |
222 |
$463.86 |
| A5500 |
Diab shoe for density insert |
468 |
222 |
$379.07 |
| L3002 |
Foot insert plastazote or eq |
142 |
68 |
$250.78 |
| G0008 |
Admin influenza virus vac |
84 |
84 |
$0.00 |