Medicaid Provider Spending

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

PLAZA HEALTH LLC

NPI: 1184968513 · BAYAMON, PR 00957 · Community/Retail Pharmacy · NPI assigned 11/26/2012

$3K
Total Medicaid Paid
222
Total Claims
171
Beneficiaries
5
Codes Billed
2018-02
First Month
2018-09
Last Month

Provider Details

Authorized OfficialSABNANI, HARI (PRESIDENT & CEO)
Parent OrganizationPLAZA HEALTH LLC
NPI Enumeration Date11/26/2012

Related Entities

Other providers sharing the same authorized official: SABNANI, HARI

ProviderCityStateTotal Paid
ALIVIA SPECIALTY, LLC GUAYNABO PR $188.98M
ALIVIA INFUSION SERVICES LLC PONCE PR $10.93M
PLAZA HEALTH LLC TOA BAJA PR $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 222 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90670 16 16 $3K
90686 38 38 $261.10
G0008 Administration of influenza virus vaccine 95 69 $0.00
G0009 Administration of pneumococcal vaccine 19 19 $0.00
90662 54 29 $0.00