Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › HAYWARD › SNP PHARMACY LLC

SNP PHARMACY LLC

NPI: 1336331677 · HAYWARD, CA 94545 · Pharmacy · NPI assigned 08/10/2007

$2K
Total Medicaid Paid
92
Total Claims
73
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBAYLIN, RUBY (MANAGER)
NPI Enumeration Date08/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35 $186.33
2024 57 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90677 12 12 $1K
91320 22 22 $305.56
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 35 16 $186.33
90480 23 23 $103.18