Medicaid Provider Spending

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

SUBURBAN PHARMACY LTC INC

NPI: 1932236775 · WEST HARTFORD, CT 06117 · Community/Retail Pharmacy · NPI assigned 02/28/2007

$1K
Total Medicaid Paid
144
Total Claims
141
Beneficiaries
1
Codes Billed
2019-05
First Month
2024-05
Last Month

Provider Details

Authorized OfficialKAMMULURI, RATNA KUMAR (PHARMACIST)
NPI Enumeration Date02/28/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 67 $435.60
2020 52 $511.51
2024 25 $158.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 144 141 $1K