Medicaid Provider Spending

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

LEVY'S PHARMACY OF LYNDHURST LLC

NPI: 1972544302 · LYNDHURST, NJ 07071 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/09/2006

$5K
Total Medicaid Paid
161
Total Claims
161
Beneficiaries
2
Codes Billed
2020-10
First Month
2021-08
Last Month

Provider Details

Authorized OfficialGARCIA, YOLANDA (RPH IN CHARGE)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: GARCIA, YOLANDA

ProviderCityStateTotal Paid
NIVANO PHYSICIANS, INC. SACRAMENTO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 56 $2K
2021 105 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4554 Disposable underpads, all sizes 113 113 $4K
A4927 Gloves, non-sterile, per 100 48 48 $606.50