Medicaid Provider Spending

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

VITALAB PHARMACY INC

NPI: 1073982120 · PHOENIX, AZ 85032 · Multi-Specialty Clinic/Center · NPI assigned 09/18/2015

$40K
Total Medicaid Paid
878
Total Claims
683
Beneficiaries
3
Codes Billed
2018-02
First Month
2024-04
Last Month

Provider Details

Authorized OfficialVASILIAUSKAS, PAUL (SR.V.P. BUSINESS DEVELOPMENT)
Parent OrganizationALERACARE HOLDINGS LLC
NPI Enumeration Date09/18/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 194 $5K
2019 73 $3K
2020 86 $4K
2021 311 $18K
2022 143 $5K
2024 71 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 657 502 $37K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 204 167 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 17 14 $410.49