Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › OXNARD › LA PAZ PHARMACY, INC.

LA PAZ PHARMACY, INC.

NPI: 1407525264 · OXNARD, CA 93036 · Long Term Care Pharmacy · NPI assigned 09/07/2021

$882.01
Total Medicaid Paid
213
Total Claims
213
Beneficiary Records
4
Codes Billed
2022-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDOMINGUEZ, ARTURO (OWNER)
NPI Enumeration Date09/07/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 99 $882.01
2023 72 $0.00
2024 42 $0.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
90662 46 46 $811.76
90694 41 41 $70.25
G0008 Administration of influenza virus vaccine 105 105 $0.00
90653 21 21 $0.00