Medicaid Provider Spending

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

NPI: 1568509974 · EAGLE LAKE, TX 77434 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/01/2007

$0.00
Total Medicaid Paid
81
Total Claims
81
Beneficiaries
3
Codes Billed
2021-03
First Month
2021-12
Last Month

Provider Details

Authorized OfficialZARATE, SAMMI (PHARMACY MANAGER)
NPI Enumeration Date02/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 81 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 22 22 $0.00
0012A 24 24 $0.00
0013A 35 35 $0.00