Medicaid Provider Spending

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

MEDICINE MAN RX LLC

NPI: 1598009383 · HOBOKEN, NJ 07030 · Pharmacy · NPI assigned 11/16/2012

$4K
Total Medicaid Paid
134
Total Claims
118
Beneficiaries
3
Codes Billed
2021-05
First Month
2021-12
Last Month

Provider Details

Authorized OfficialSUTARIA, PANKIT (PRESIDENT)
NPI Enumeration Date11/16/2012

Related Entities

Other providers sharing the same authorized official: SUTARIA, PANKIT

ProviderCityStateTotal Paid
HOPKINS DRUGS LLC WOODSIDE NY $18K
TOP VALUE PHARMACY LLC BRONX NY $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 134 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 66 56 $2K
0001A 51 47 $1K
0003A 17 15 $480.00