Medicaid Provider Spending

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

C J PHARMACY SERVICES LLC

NPI: 1285943464 · STERLING, CO 80751 · Home Infusion Therapy Pharmacy · NPI assigned 10/05/2010

$3K
Total Medicaid Paid
191
Total Claims
178
Beneficiaries
6
Codes Billed
2020-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLORENZO LOCK, JENAE (PHARMACY MANAGER)
NPI Enumeration Date10/05/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 34 $182.75
2021 15 $92.17
2022 83 $1K
2023 35 $685.11
2024 24 $480.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 46 $929.79
0134A 38 38 $803.01
90686 33 33 $587.91
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 49 36 $274.92
90656 12 12 $226.44
91313 13 13 $0.00