Medicaid Provider Spending

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

TOP VALUE PHARMACY LLC

NPI: 1891035762 · BRONX, NY 10466 · Pharmacy · NPI assigned 02/28/2013

$1K
Total Medicaid Paid
65
Total Claims
65
Beneficiaries
2
Codes Billed
2021-03
First Month
2021-04
Last Month

Provider Details

Authorized OfficialSUTARIA, PANKIT (OWNER)
NPI Enumeration Date02/28/2013

Related Entities

Other providers sharing the same authorized official: SUTARIA, PANKIT

ProviderCityStateTotal Paid
HOPKINS DRUGS LLC WOODSIDE NY $18K
MEDICINE MAN RX LLC HOBOKEN NJ $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 65 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 29 29 $713.37
0011A 36 36 $297.13