Medicaid Provider Spending

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

NPI: 1407315997 · RANCHO CUCAMONGA, CA 91730 · Community/Retail Pharmacy · NPI assigned 03/14/2019

$12K
Total Medicaid Paid
165
Total Claims
165
Beneficiary Records
3
Codes Billed
2022-11
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMOC, SYLVIA (CFO)
NPI Enumeration Date03/14/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 25 $2K
2023 65 $5K
2024 75 $5K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99607 88 88 $8K
99606 64 64 $3K
99605 13 13 $559.00