Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › RALEIGH › SPRINGFIELD PHARMACY LLC

SPRINGFIELD PHARMACY LLC

NPI: 1184264897 · RALEIGH, NC 27615 · Community/Retail Pharmacy · NPI assigned 01/10/2020

$288.54
Total Medicaid Paid
36
Total Claims
29
Beneficiaries
2
Codes Billed
2020-10
First Month
2020-10
Last Month

Provider Details

Authorized OfficialPATEL, HIMANSHU (PHARMACY MANAGER)
NPI Enumeration Date01/10/2020

Related Entities

Other providers sharing the same authorized official: PATEL, HIMANSHU

ProviderCityStateTotal Paid
CENTRAL JERSEY PEDIATRICS SOMERSET NJ $193K
KISHAN-HENAL LIMITED LIABILITY COMPANY TOMS RIVER NJ $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 36 $288.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 19 14 $162.81
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 15 $125.73