Medicaid Provider Spending

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

POLARIS PHARMACY SERVICES OF TENNESSEE LLC

NPI: 1164032546 · NASHVILLE, TN 32709 · Long Term Care Pharmacy · NPI assigned 07/31/2020

$0.00
Total Medicaid Paid
1,513
Total Claims
1,498
Beneficiaries
16
Codes Billed
2021-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialROMBRO, DAVID (CEO)
NPI Enumeration Date07/31/2020

Related Entities

Other providers sharing the same authorized official: ROMBRO, DAVID

ProviderCityStateTotal Paid
POLARIS PHARMACY SERVICES OF MINNESOTA, LLC ST. LOUIS PARK MN $7K
POLARIS PHARMACY SERVICES OF NORTH CAROLINA LLC CHARLOTTE NC $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 364 $0.00
2022 411 $0.00
2023 164 $0.00
2024 574 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90653 271 271 $0.00
0124A 181 181 $0.00
91322 125 121 $0.00
91320 113 105 $0.00
0004A 167 167 $0.00
90661 29 29 $0.00
90677 97 97 $0.00
90656 13 13 $0.00
0012A 16 15 $0.00
0001A 311 311 $0.00
90694 31 31 $0.00
0011A 35 34 $0.00
0134A 60 60 $0.00
G0008 Administration of influenza virus vaccine 31 31 $0.00
0031A 14 13 $0.00
0064A 19 19 $0.00