Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › BREAUX BRIDGE › BON AMI PHARMACY

BON AMI PHARMACY

NPI: 1396270955 · BREAUX BRIDGE, LA 70517 · 333600000X

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

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 Admin influenza virus vac 17 17 $0.00