Medicaid Provider Spending

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

SEYBRIDGE PHARMACY INC

NPI: 1992763882 · SEYMOUR, CT 06483 · Pharmacy · NPI assigned 05/02/2006

$19K
Total Medicaid Paid
1,035
Total Claims
950
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialVILLEGAS, LUIS (MANAGER)
NPI Enumeration Date05/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 529 $7K
2019 238 $4K
2020 123 $2K
2021 72 $1K
2022 13 $208.00
2023 12 $1K
2024 48 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4927 Gloves, non-sterile, per 100 520 473 $8K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 334 308 $7K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 60 60 $5K
A4259 Lancets, per box of 100 121 109 $316.54