Medicaid Provider Spending

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

DELCO DRUGS AND SPECIALTY PHARMACY INC

NPI: 1902939416 · STATEN ISLAND, NY 10312 · Compounding Pharmacy · NPI assigned 03/13/2007

$25K
Total Medicaid Paid
304
Total Claims
292
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialANNICHARICO, ROBERT (OWNER)
NPI Enumeration Date03/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 176 $14K
2019 93 $7K
2020 35 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T4533 Youth sized disposable incontinence product, brief/diaper, each 126 115 $11K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each 76 75 $8K
A4554 Disposable underpads, all sizes 90 90 $6K
A4927 Gloves, non-sterile, per 100 12 12 $54.60