Medicaid Provider Spending

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

PULMONAIRE SERVICE PHARMACY, INC.

NPI: 1952496804 · CHATTANOOGA, TN 37403 · Community/Retail Pharmacy · NPI assigned 10/04/2006

$2K
Total Medicaid Paid
817
Total Claims
764
Beneficiaries
3
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialWILSON, STEPHEN (CHIEF PHARMACIST)
NPI Enumeration Date10/04/2006

Related Entities

Other providers sharing the same authorized official: WILSON, STEPHEN

ProviderCityStateTotal Paid
BOSTON UNIVERSITY FAMILY MEDICINE, INC. BOSTON MA $2.89M
FOUNDATON RESEARCH HONOLULU HI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 339 $464.65
2019 237 $651.06
2020 86 $191.06
2021 70 $157.45
2022 85 $189.76

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 686 641 $1K
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 26 24 $151.80
A4259 Lancets, per box of 100 105 99 $21.19