Medicaid Provider Spending

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

PHARMACY DOT COM 82ND

NPI: 1457901498 · PORTLAND, OR 97266 · Long Term Care Pharmacy · NPI assigned 09/11/2019

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

Provider Details

Authorized OfficialNGUYEN, JASMINE (OWNER/MANAGER)
NPI Enumeration Date09/11/2019

Related Entities

Other providers sharing the same authorized official: NGUYEN, JASMINE

ProviderCityStateTotal Paid
JASMINE P. NGUYEN, O.D., INC. SAN DIEGO CA $625K
HILLSBORO PHARMACY & FOUNTAIN HILLSBORO OR $4K
KN DRUG LLC PORTLAND OR $0.00

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 821 570 $4K
90662 140 93 $65.26
G0008 Administration of influenza virus vaccine 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