Medicaid Provider Spending

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

DORAL PHARMACEUTICALS LLC

NPI: 1013938075 · PITTSBURGH, PA 15234 · Pharmacy · NPI assigned 07/22/2006

$3K
Total Medicaid Paid
182
Total Claims
175
Beneficiaries
5
Codes Billed
2021-11
First Month
2023-11
Last Month

Provider Details

Authorized OfficialEVANCIC, PRUDENCE (PRESIDENT)
NPI Enumeration Date07/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 74 $723.35
2022 17 $51.33
2023 91 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90674 62 61 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 64 60 $774.68
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 28 $277.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 14 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $0.00