Medicaid Provider Spending

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

NPI: 1477725638 · PONCHATOULA, LA 70454 · Community/Retail Pharmacy · NPI assigned 03/28/2008

$0.00
Total Medicaid Paid
250
Total Claims
250
Beneficiaries
3
Codes Billed
2021-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialMERCANTE, ANTHONY (PHARMACIST)
NPI Enumeration Date03/28/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 250 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0013A 36 36 $0.00
0011A 107 107 $0.00
0012A 107 107 $0.00