Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MERRITT ISLAND PHARMACY
NPI: 1508120395 · MERRITT ISLAND, FL 32953 ·
Pharmacy
· NPI assigned 06/27/2012
$560.00
Total Medicaid Paid
29
Total Claims
29
Beneficiaries
2
Codes Billed
2021-04
First Month
2021-05
Last Month
Provider Details
Authorized Official
DHADUK, BHAVIN
(PHARMACY MANAGER, PIC)
NPI Enumeration Date
06/27/2012
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
29
$560.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0011A
16
16
$400.00
0012A
13
13
$160.00