Medicaid Provider Spending

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

GROVETOWN PHARMACY, INC.

NPI: 1023406428 · LOS ANGELES, CA 90048 · Pharmacy · NPI assigned 01/07/2015

$1K
Total Medicaid Paid
35
Total Claims
35
Beneficiaries
2
Codes Billed
2022-05
First Month
2022-05
Last Month

Provider Details

Authorized OfficialHARONIAN, SOGOL (OWNER)
NPI Enumeration Date01/07/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 35 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 22 22 $880.00
0011A 13 13 $520.00