STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
NPI: 1285604819
· MARQUETTE, MI 49855
· Long Term Care Pharmacy
· NPI assigned 01/25/2006
$253.76
Total Medicaid Paid
Provider Details
| Authorized Official | OJA, RONALD (ADMINISTRATOR) |
| Parent Organization | STATE OF MICHIGAN |
| NPI Enumeration Date | 01/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
12 |
$253.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$253.76 |