Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CASTLE DALE
› NIELSON'S PHARMACY, INC
NIELSON'S PHARMACY, INC
NPI: 1528151388 · CASTLE DALE, UT 84513 ·
Community/Retail Pharmacy
· NPI assigned 10/02/2006
$83.26
Total Medicaid Paid
31
Total Claims
31
Beneficiaries
2
Codes Billed
2021-03
First Month
2021-03
Last Month
Provider Details
Authorized Official
WINN, WESTIN
(PIC/MANAGER)
NPI Enumeration Date
10/02/2006
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
31
$83.26
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0031A
16
16
$83.26
91303
15
15
$0.00