Medicaid Provider Spending

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

NPI: 1407309099 · MANASSAS, VA 20111 · Community/Retail Pharmacy · NPI assigned 07/29/2016

$77.06
Total Medicaid Paid
14
Total Claims
14
Beneficiaries
1
Codes Billed
2023-12
First Month
2023-12
Last Month

Provider Details

Authorized OfficialADDAI, ADWOA (OWNER)
NPI Enumeration Date07/29/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 14 $77.06

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90480 14 14 $77.06