Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › TREVOSE › V V L S PHARMACY LLC

V V L S PHARMACY LLC

NPI: 1881680718 · TREVOSE, PA 19053 · Pharmacy · NPI assigned 09/26/2005

$154K
Total Medicaid Paid
166
Total Claims
114
Beneficiaries
2
Codes Billed
2024-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGANSE, GREG (CEO)
NPI Enumeration Date09/26/2005

Related Entities

Other providers sharing the same authorized official: GANSE, GREG

ProviderCityStateTotal Paid
GANSE APOTHECARY LLC LEMONT FURNACE PA $80K
SEQUON LLC ANNAPOLIS MD $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 166 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0578 Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy 149 102 $154K
J0576 Injection, buprenorphine extended-release (brixadi), 1 mg 17 12 $0.00