Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PHOENIX DRUGSTORE & MEDICAL SUPPLIES
NPI: 1255803953 · HOUSTON, TX 77090 ·
Long Term Care Pharmacy
· NPI assigned 12/19/2018
$0.00
Total Medicaid Paid
76
Total Claims
76
Beneficiary Records
2
Codes Billed
2022-06
First Month
2022-12
Last Month
Provider Details
Authorized Official
CLIFFORD, PATRICE
(PHARMACIST-IN-CHARGE/OWNER)
NPI Enumeration Date
12/19/2018
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
76
$0.00
Billing Codes
Code
Description
Claims
Bene. Records
Total Paid
0124A
38
38
$0.00
0002A
38
38
$0.00