Medicaid Provider Spending

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

NPI: 1578814539 · NEW PORT RICHEY, FL 34655 · Community/Retail Pharmacy · NPI assigned 09/30/2012

$77.76
Total Medicaid Paid
103
Total Claims
96
Beneficiaries
3
Codes Billed
2021-03
First Month
2021-11
Last Month

Provider Details

Authorized OfficialSAEED, DALIA (OWNER / PHARMACIST)
NPI Enumeration Date09/30/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 103 $77.76

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 41 39 $38.88
0012A 40 38 $38.88
0004A 22 19 $0.00