Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › PORTLAND › PHARMACY DOT COM 82ND

PHARMACY DOT COM 82ND

NPI: 1457901498 · PORTLAND, OR 97266 · 3336L0003X

$4K
Total Medicaid Paid
1,654
Total Claims
1,170
Beneficiaries
10
Codes Billed
2022-07
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 724 $77.75
2023 775 $2K
2024 155 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
M0201 Pne flu hepb cov home admin 821 570 $4K
90662 140 93 $65.26
G0008 Admin influenza virus vac 312 224 $12.49
0124A 67 53 $0.00
91320 54 35 $0.00
91322 12 12 $0.00
90694 62 49 $0.00
90480 95 66 $0.00
0134A 29 21 $0.00
90686 62 47 $0.00