Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › RANCHO CUCAMONGA › PETRIE, LOUIS

PETRIE, LOUIS

NPI: 1154682243 · RANCHO CUCAMONGA, CA 91730 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI assigned 06/05/2012

$1K
Total Medicaid Paid
40
Total Claims
40
Beneficiaries
2
Codes Billed
2018-10
First Month
2018-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90662 20 20 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20 20 $0.00