Medicaid Provider Spending

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

NPI: 1396270955 · BREAUX BRIDGE, LA 70517 · Pharmacy · NPI assigned 04/20/2017

$0.00
Total Medicaid Paid
477
Total Claims
470
Beneficiaries
6
Codes Billed
2021-01
First Month
2022-10
Last Month

Provider Details

Authorized OfficialSTELLY, MYLES (OWNER)
NPI Enumeration Date04/20/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 428 $0.00
2022 49 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0013A 14 14 $0.00
0064A 108 106 $0.00
90694 13 13 $0.00
0011A 191 187 $0.00
0012A 134 133 $0.00
G0008 Administration of influenza virus vaccine 17 17 $0.00