Medicaid Provider Spending

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

NPI: 1336749860 · TUCSON, AZ 85742 · Long Term Care Pharmacy · NPI assigned 10/26/2020

$332.11
Total Medicaid Paid
13
Total Claims
13
Beneficiary Records
1
Codes Billed
2021-11
First Month
2021-11
Last Month

Provider Details

Authorized OfficialOWUSU-BOADI, IRENE (MANAGER)
NPI Enumeration Date10/26/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $332.11

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
0013A 13 13 $332.11