Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1492 PHARMA GROUP CORP

NPI: 1417968058 · SOUTH MIAMI, FL 33143 · Community/Retail Pharmacy · NPI assigned 08/10/2006

$1.60
Total Medicaid Paid
32
Total Claims
24
Beneficiaries
2
Codes Billed
2024-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMARTINEZ, SONIA (PRESIDENT)
NPI Enumeration Date08/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 32 $1.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90480 17 12 $1.60
91322 15 12 $0.00