Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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VILLAGE SUPER MARKET OF NJ LP

NPI: 1295840072 · RIO GRANDE, NJ 08242 · Community/Retail Pharmacy · NPI assigned 08/20/2006

$0.00
Total Medicaid Paid
55
Total Claims
55
Beneficiaries
4
Codes Billed
2021-04
First Month
2023-09
Last Month

Provider Details

Authorized OfficialFIGUEROA RIVERA, MELISSA (THIRD PARTY ADMINISTRATOR)
NPI Enumeration Date08/20/2006

Related Entities

Other providers sharing the same authorized official: FIGUEROA RIVERA, MELISSA

ProviderCityStateTotal Paid
SAKER SHOPRITES INC HOWELL NJ $0.00
BERAT CORPORATION CLEMENTON NJ $0.00
BERAT CORPORATION WILLIAMSTOWN NJ $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 26 $0.00
2023 29 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 17 17 $0.00
0011A 12 12 $0.00
90686 12 12 $0.00
0064A 14 14 $0.00