Medicaid Provider Spending

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

HARTFORD PHARMACY, INC.

NPI: 1952646739 · HARTFORD, CT 06106 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/04/2012

$92K
Total Medicaid Paid
3,022
Total Claims
2,896
Beneficiaries
3
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialDHULIPALLA, PRAVEEN (OWNER)
NPI Enumeration Date12/04/2012

Related Entities

Other providers sharing the same authorized official: DHULIPALLA, PRAVEEN

ProviderCityStateTotal Paid
WATERBURY PHARMACY LLC WATERBURY CT $129K
COMMUNITY CARE PHARMACY INC HARTFORD CT $34K
COMMUNITY PHARMACY INC EAST HARTFORD CT $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,092 $32K
2019 904 $26K
2020 929 $32K
2021 82 $1K
2022 15 $73.22

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 1,935 1,839 $82K
A4259 Lancets, per box of 100 1,074 1,044 $9K
A4670 Automatic blood pressure monitor 13 13 $780.00