Medicaid Provider Spending

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

HANCOCK PHARMACY III, LLC

NPI: 1871838748 · BRIDGEPORT, CT 06606 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/04/2012

Deactivated NPI · This NPI was deactivated on 11/06/2020. Reactivated 11/20/2020.
$35K
Total Medicaid Paid
867
Total Claims
762
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialAPPALANENI, RAJENDRA (MEMBER)
NPI Enumeration Date12/04/2012

Related Entities

Other providers sharing the same authorized official: APPALANENI, RAJENDRA

ProviderCityStateTotal Paid
BRIDGEPORT CHEMISTS INC BRIDGEPORT CT $449K
BRIDGEPORT PHARMACY LLC BRIDGEPORT CT $267K
MARRAS PHARMA CORP COHOES NY $199K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 246 $11K
2019 163 $8K
2020 443 $14K
2023 15 $876.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 707 622 $33K
A4259 Lancets, per box of 100 145 125 $1K
E0570 Nebulizer, with compressor 15 15 $876.00