Medicaid Provider Spending

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

ST. PETER'S PHARMACY & DRUGS LLC

NPI: 1922181874 · HOBOKEN, NJ 07030 · Community/Retail Pharmacy · NPI assigned 10/23/2006

$2K
Total Medicaid Paid
267
Total Claims
131
Beneficiaries
4
Codes Billed
2021-05
First Month
2022-01
Last Month

Provider Details

Authorized OfficialISAAC, WAEL (PHARMACIST IN CHARGE)
NPI Enumeration Date10/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 209 $1K
2022 58 $359.27

Billing Codes

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