Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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JESSY PATEL LLC
NPI: 1205208881 · WHITING, NJ 08759 ·
Community/Retail Pharmacy
· NPI assigned 10/22/2015
$80.00
Total Medicaid Paid
39
Total Claims
39
Beneficiaries
3
Codes Billed
2021-09
First Month
2022-10
Last Month
Provider Details
Authorized Official
VIKANI, JESSY
(MEMBER)
NPI Enumeration Date
10/22/2015
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
15
$80.00
2022
24
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0004A
15
15
$80.00
G0008
Administration of influenza virus vaccine
12
12
$0.00
90694
12
12
$0.00