Medicaid Provider Spending

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

NORTH EAST MEDICAL SERVICES

NPI: 1013339977 · DALY CITY, CA 94015 · Pharmacy · NPI assigned 01/13/2014

$0.00
Total Medicaid Paid
24
Total Claims
24
Beneficiaries
2
Codes Billed
2024-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialLI, POWEN (PHARMACIST-IN-CHARGE)
NPI Enumeration Date01/13/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 24 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90677 12 12 $0.00
G0009 Administration of pneumococcal vaccine 12 12 $0.00