Medicaid Provider Spending

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

PETES FAMILY PHARMACY LLC

NPI: 1285724336 · INDEPENDENCE, LA 70443 · Pharmacy · NPI assigned 10/12/2006

$0.00
Total Medicaid Paid
150
Total Claims
150
Beneficiaries
2
Codes Billed
2021-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialTINNERELLO, MICHAEL (OWNER)
NPI Enumeration Date10/12/2006

Related Entities

Other providers sharing the same authorized official: TINNERELLO, MICHAEL

ProviderCityStateTotal Paid
GREENSBURG FAMILY PHARMACY LLC GREENSBURG LA $0.00
FAMILY PHARMACY LLC DENHAM SPRINGS LA $0.00
FAMILY PHARMACY LLC ALBANY LA $0.00
FAMILY PHARMACY LLC GEISMAR LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 150 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 74 74 $0.00
0012A 76 76 $0.00