Medicaid Provider Spending

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

PRESCRIPTION COMPOUNDING SPECIALISTS INC

NPI: 1528028388 · AIEA, HI 96701 · Pharmacy · NPI assigned 03/24/2006

$2K
Total Medicaid Paid
15
Total Claims
14
Beneficiaries
1
Codes Billed
2018-10
First Month
2018-10
Last Month

Provider Details

Authorized OfficialGREGORY, MARK (PRESIDENT)
NPI Enumeration Date03/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J3490 Unclassified drugs 15 14 $2K