Medicaid Provider Spending

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

PRIME CARE INC

NPI: 1386783629 · TAMUNING, GU 96913 · Pharmacy · NPI assigned 02/05/2007

$4K
Total Medicaid Paid
371
Total Claims
346
Beneficiaries
3
Codes Billed
2018-12
First Month
2023-06
Last Month

Provider Details

Authorized OfficialCHARGUALAF, MARY (BUSINESS ADMIN)
NPI Enumeration Date02/05/2007

Related Entities

Other providers sharing the same authorized official: CHARGUALAF, MARY

ProviderCityStateTotal Paid
WIL-MAR CORPORATION SINAJANA GU $10K
RAN-CARE INC MANGILAO GU $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $199.60
2019 83 $734.46
2021 176 $2K
2022 31 $329.40
2023 56 $469.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4211 Supplies for self-administered injections 215 207 $2K
A4206 Syringe with needle, sterile, 1 cc or less, each 142 127 $1K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 14 12 $286.75