Medicaid Provider Spending

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

NPI: 1285851725 · PITTSBURGH, PA 15210 · Pharmacy · NPI assigned 04/19/2007

$2K
Total Medicaid Paid
125
Total Claims
125
Beneficiaries
3
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAVELLA, PATRICK (VP)
NPI Enumeration Date04/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $137.00
2021 26 $264.00
2022 21 $220.00
2023 49 $731.95
2024 16 $165.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 82 82 $869.00
90686 30 30 $511.95
90688 13 13 $137.00