Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › GLENDALE › BETHANY HOME DISCOUNT PHARMACY LLC

BETHANY HOME DISCOUNT PHARMACY LLC

NPI: 1154975043 · GLENDALE, AZ 85301 · Pharmacy · NPI assigned 07/29/2019

$0.00
Total Medicaid Paid
58
Total Claims
58
Beneficiaries
2
Codes Billed
2021-03
First Month
2021-04
Last Month

Provider Details

Authorized OfficialGODISHALA, SUSHMITHA (MEMBER)
NPI Enumeration Date07/29/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 58 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 29 29 $0.00
0011A 29 29 $0.00