Medicaid Provider Spending

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

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 OfficialCLIFFORD, PATRICE (PHARMACIST-IN-CHARGE/OWNER)
NPI Enumeration Date12/19/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 76 $0.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
0124A 38 38 $0.00
0002A 38 38 $0.00