Medicaid Provider Spending

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

NPI: 1952416125 · WILLIMANTIC, CT 06226 · Pharmacy · NPI assigned 08/20/2006

$32K
Total Medicaid Paid
1,175
Total Claims
1,133
Beneficiary Records
3
Codes Billed
2018-01
First Month
2020-10
Last Month

Provider Details

Authorized OfficialGAZZARAPU, BRAHMAJI (PHARMACY MANAGER)
NPI Enumeration Date08/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 450 $14K
2019 421 $8K
2020 304 $10K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 733 700 $29K
A4259 Lancets, per box of 100 419 410 $3K
E0607 Home blood glucose monitor 23 23 $672.14