Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PHARMA340 LLC

NPI: 1316406648 · ROCKWELL CITY, IA 50579 · Long Term Care Pharmacy · NPI assigned 03/16/2019

$1K
Total Medicaid Paid
70
Total Claims
50
Beneficiaries
2
Codes Billed
2021-03
First Month
2021-04
Last Month

Provider Details

Authorized OfficialDONNELLY, STEVEN (VICE PRESIDENT)
NPI Enumeration Date03/16/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 70 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 34 24 $760.00
0011A 36 26 $500.22