Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › WACO › LYNNS LA VEGA PHARMACY INC

LYNNS LA VEGA PHARMACY INC

NPI: 1558475541 · WACO, TX 76705 · Long Term Care Pharmacy · NPI assigned 08/18/2006

$2K
Total Medicaid Paid
117
Total Claims
113
Beneficiaries
3
Codes Billed
2021-08
First Month
2021-12
Last Month

Provider Details

Authorized OfficialEVERETT, BRADY (PRESIDENT)
NPI Enumeration Date08/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 117 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 38 36 $608.20
0001A 33 31 $526.30
0003A 46 46 $526.30