Medicaid Provider Spending

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

NPI: 1306968151 · SAN SEBASTIAN, PR 00685 · Community/Retail Pharmacy · NPI assigned 04/04/2007

$3K
Total Medicaid Paid
99
Total Claims
92
Beneficiaries
2
Codes Billed
2021-03
First Month
2021-04
Last Month

Provider Details

Authorized OfficialRIVERA SANCHEZ, LUZ (OWNER)
NPI Enumeration Date04/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 99 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 51 47 $2K
0001A 48 45 $802.30