Medicaid Provider Spending

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

HEALTHCARE PHARMACY LLC

NPI: 1508853540 · SHREVEPORT, LA 71105 · Long Term Care Pharmacy · NPI assigned 10/04/2005

$0.00
Total Medicaid Paid
2,900
Total Claims
2,898
Beneficiaries
6
Codes Billed
2021-04
First Month
2023-09
Last Month

Provider Details

Authorized OfficialROBICHAUX, DOUGLAS (MANAGER)
NPI Enumeration Date10/04/2005

Related Entities

Other providers sharing the same authorized official: ROBICHAUX, DOUGLAS

ProviderCityStateTotal Paid
NORTHEAST LA PHARMACY SHREVEPORT LA $148K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,010 $0.00
2022 1,532 $0.00
2023 358 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 157 157 $0.00
0064A 583 583 $0.00
0012A 211 211 $0.00
0124A 1,034 1,032 $0.00
0013A 896 896 $0.00
0003A 19 19 $0.00