Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › ARLINGTON › NOVA PHARMACY LLC

NOVA PHARMACY LLC

NPI: 1497042956 · ARLINGTON, VA 22205 · 3336C0004X

$67.00
Total Medicaid Paid
200
Total Claims
190
Beneficiaries
2
Codes Billed
2018-09
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 126 $67.00
2019 74 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90653 91 86 $51.20
G0008 Admin influenza virus vac 109 104 $15.80