Medicaid Provider Spending

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

NPI: 1356884670 · SOMERSET, NJ 08873 · Mail Order Pharmacy · NPI assigned 11/18/2016

$40.00
Total Medicaid Paid
166
Total Claims
166
Beneficiaries
4
Codes Billed
2021-11
First Month
2022-05
Last Month

Provider Details

Authorized OfficialODUSOLA, AKINWUNMI (PHARMACIST/PHARMACIST IN CHARGE)
NPI Enumeration Date11/18/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 74 $40.00
2022 92 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0013A 34 34 $40.00
0004A 64 64 $0.00
0003A 40 40 $0.00
0064A 28 28 $0.00