Medicaid Provider Spending

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

NPI: 1164508503 · VILLALBA, PR 00766 · Pharmacy · NPI assigned 10/27/2006

$10K
Total Medicaid Paid
299
Total Claims
299
Beneficiaries
3
Codes Billed
2021-03
First Month
2021-05
Last Month

Provider Details

Authorized OfficialALVARADO, LUCIMAR (MANAGER)
NPI Enumeration Date10/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 299 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 141 141 $6K
0011A 146 146 $4K
0031A 12 12 $240.00