Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › BOULDER › PHARMACA INTEGRATIVE PHARMACY, INC.

PHARMACA INTEGRATIVE PHARMACY, INC.

NPI: 1528121910 · BOULDER, CO 80304 · Pharmacy · NPI assigned 12/18/2006

$113.56
Total Medicaid Paid
790
Total Claims
472
Beneficiaries
6
Codes Billed
2021-04
First Month
2022-01
Last Month

Provider Details

Authorized OfficialFARRELL, ALISON (SVP PHARMACY SERVICES)
NPI Enumeration Date12/18/2006

Related Entities

Other providers sharing the same authorized official: FARRELL, ALISON

ProviderCityStateTotal Paid
THE STOP & SHOP SUPERMARKET COMPANY LLC WEST HAVEN CT $32K
THE GIANT COMPANY, LLC ALTOONA PA $25K
PHARMACA INTEGRATIVE PHARMACY, INC. BOULDER CO $113.56

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 618 $113.56
2022 172 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 72 53 $113.56
0064A 64 34 $0.00
91306 64 34 $0.00
0001A 43 40 $0.00
0004A 176 89 $0.00
91300 371 222 $0.00