Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › GASTONIA › SHIV PHARMACY INC

SHIV PHARMACY INC

NPI: 1447683578 · GASTONIA, NC 28054 · Pharmacy · NPI assigned 08/13/2013

$2K
Total Medicaid Paid
114
Total Claims
108
Beneficiaries
3
Codes Billed
2019-10
First Month
2020-09
Last Month

Provider Details

Authorized OfficialPATEL, ALPESH (PHARMACY MANAGER)
NPI Enumeration Date08/13/2013

Related Entities

Other providers sharing the same authorized official: PATEL, ALPESH

ProviderCityStateTotal Paid
ALPESH PATEL DDS, INC BLOOMINGTON CA $1.80M
GEORGIA WEST IMAGING, PC ATLANTA GA $611K
EMINENCE URGENT CARE LLC PELHAM AL $176K
247 HEART AND VASCULAR SPECIALISTS PC PRINCETON NJ $35K
BENZER OH 10 LLC NEWARK OH $1K
PALM RX PHARMACY LLC WINTER HAVEN FL $344.45
VIGO HEALTH PHARMACY INC TERRE HAUTE IN $51.59
RX CARE FOUR LLC PALM BAY FL $0.00
MEDICAL CENTER PHARMACY LLC ZEPHYRHILLS FL $0.00
JANKI PHARMACY, INC CLAY CITY IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 80 $1K
2020 34 $524.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 58 55 $742.22
90686 38 35 $615.41
90756 18 18 $421.92