Medicaid Provider Spending

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

NPI: 1093968448 · INDIANAPOLIS, IN 46256 · Pharmacy · NPI assigned 10/29/2008

$0.00
Total Medicaid Paid
1,351
Total Claims
1,300
Beneficiaries
8
Codes Billed
2021-03
First Month
2022-11
Last Month

Provider Details

Authorized OfficialHEADLEY, KATHY (CHAIRPERSON OF THE BOARD)
NPI Enumeration Date10/29/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 917 $0.00
2022 434 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 57 57 $0.00
0064A 217 217 $0.00
0031A 31 31 $0.00
0011A 22 22 $0.00
91301 19 19 $0.00
0013A 804 803 $0.00
0124A 155 105 $0.00
0003A 46 46 $0.00