Medicaid Provider Spending

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

ENID FARMACIA SANTA ANA DE PATILLAS INC

NPI: 1295833234 · PATILLAS, PR 00723 · 333600000X

$4K
Total Medicaid Paid
355
Total Claims
343
Beneficiaries
4
Codes Billed
2018-09
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 136 $2K
2019 153 $1K
2020 66 $608.96

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 175 165 $3K
90471 57 55 $842.70
90472 13 13 $174.90
G0008 Admin influenza virus vac 110 110 $0.00