Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

ST. Peter's Pharmacy & Drugs LLC

ST. Peter's Pharmacy & Drugs LLC was paid $2K by Medicaid between May 2021 and Jan 2022, across 4 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 69% of everything it billed.

33Billing provider infoST. PETER'S PHARMACY & DRUGS LLC
HOBOKEN, NJ 07030
33aNPI1922181874assigned 10/23/2006
28Total paid$2K
24GClaims267
24DCodes billed4
24AFirst – last monthMay 2021 – Jan 2022
Compared with peers

Next to other Community/Retail Pharmacy providers in New Jersey

Rank by total paid#14 of 123
Median peer was paid$40.00
This provider vs. median40×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200$4002018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2021209$1K
202258$359.27
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 69% 137 65 $1K
0012A 17% 38 19 $280.00
0011A 13% 28 17 $210.82
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 64 30 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialISAAC, WAEL (PHARMACIST IN CHARGE)