Medicaid Provider Spending

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

BOULEVARD PHARMACY INC

NPI: 1588733869 · BARTLESVILLE, OK 74003 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/08/2006

$1K
Total Medicaid Paid
15
Total Claims
15
Beneficiaries
1
Codes Billed
2019-12
First Month
2019-12
Last Month

Provider Details

Authorized OfficialDESHAZO, KIRK (PRESIDENT/OWNER)
NPI Enumeration Date11/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E0570 Nebulizer, with compressor 15 15 $1K