Medicaid Provider Spending

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

BJRX PHARMACY LTC INC

NPI: 1073983144 · STOCKTON, CA 95210 · Long Term Care Pharmacy · NPI assigned 10/01/2015

$0.00
Total Medicaid Paid
111
Total Claims
111
Beneficiary Records
5
Codes Billed
2023-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANNE, PRATAP (DIRECTOR)
NPI Enumeration Date10/01/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 52 $0.00
2024 59 $0.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
90694 12 12 $0.00
G0008 Administration of influenza virus vaccine 55 55 $0.00
90480 12 12 $0.00
91320 12 12 $0.00
90653 20 20 $0.00