Medicaid Provider Spending

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

FARMACIA PAOLA CORP

NPI: 1457546871 · COAMO, PR 00769 · Pharmacy · NPI assigned 09/10/2007

$4K
Total Medicaid Paid
214
Total Claims
135
Beneficiaries
6
Codes Billed
2019-10
First Month
2019-10
Last Month

Provider Details

Authorized OfficialCORTES, NOELIA (PHARMACIST)
NPI Enumeration Date09/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 214 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90670 39 27 $4K
90686 67 40 $599.28
90472 Immunization administration, each additional vaccine (list separately) 29 16 $0.00
G0009 Administration of pneumococcal vaccine 12 12 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 55 28 $0.00