Medicaid Provider Spending

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

ADVANCE HEALTH RX INC

NPI: 1871166389 · BRONX, NY 10458 · Community/Retail Pharmacy · NPI assigned 07/22/2021

$239K
Total Medicaid Paid
1,847
Total Claims
1,812
Beneficiaries
11
Codes Billed
2022-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZAVLYANOV, MOYSEY (OWNER)
NPI Enumeration Date07/22/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 635 $5K
2023 120 $4K
2024 1,092 $229K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4238 Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 791 789 $206K
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 421 420 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 143 135 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 42 41 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 22 22 $646.80
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 126 117 $125.51
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 102 94 $53.99
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 79 74 $30.53
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43 43 $15.26
99051 35 34 $7.00
99000 43 43 $0.00