Medicaid Provider Spending

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

GIANT EAGLE INC

NPI: 1376558296 · MCKEESPORT, PA 15132 · Community/Retail Pharmacy · NPI assigned 07/29/2006

$81K
Total Medicaid Paid
2,610
Total Claims
2,596
Beneficiaries
9
Codes Billed
2020-11
First Month
2023-11
Last Month

Provider Details

Authorized OfficialZMARZLY, KELLY (PHARMACY MANAGED CARE)
NPI Enumeration Date07/29/2006

Related Entities

Other providers sharing the same authorized official: ZMARZLY, KELLY

ProviderCityStateTotal Paid
GIANT EAGLE, INC. CRANBERRY TWP PA $5K
GIANT EAGLE INC MORGANTOWN WV $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $2K
2021 144 $7K
2022 1,583 $24K
2023 870 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90750 318 318 $54K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,335 1,334 $15K
90686 793 793 $9K
90674 82 82 $1K
0071A 26 13 $1K
0002A 15 15 $560.00
0001A 17 17 $530.41
0124A 12 12 $480.12
90677 12 12 $132.00