Medicaid Provider Spending

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

ANAWAN PHARMACY LLC

NPI: 1235580887 · REHOBOTH, MA 02769 · Pharmacy · NPI assigned 06/24/2016

$139.23
Total Medicaid Paid
39
Total Claims
37
Beneficiaries
2
Codes Billed
2023-09
First Month
2023-09
Last Month

Provider Details

Authorized OfficialPLOUDE, RICHARD (OWNER/MANAGER/AO)
NPI Enumeration Date06/24/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 39 $139.23

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90694 14 13 $139.23
G0008 Administration of influenza virus vaccine 25 24 $0.00