Medicaid Provider Spending

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

TRIFECTA PHARMACY LLC

NPI: 1275032948 · THE WOODLANDS, TX 77380 · Pharmacy · NPI assigned 02/07/2018

$1K
Total Medicaid Paid
1,386
Total Claims
1,214
Beneficiaries
1
Codes Billed
2022-11
First Month
2023-05
Last Month

Provider Details

Authorized OfficialYALAMANCHILI, RAJEEV (OFFICER)
NPI Enumeration Date02/07/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 42 $0.00
2023 1,344 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 1,386 1,214 $1K