Medicaid Provider Spending

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

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 OfficialDHADUK, BHAVIN (PHARMACY MANAGER, PIC)
NPI Enumeration Date06/27/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 29 $560.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 16 16 $400.00
0012A 13 13 $160.00