Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › JACKSONVILLE › ALL WELL PHARMACY INC

ALL WELL PHARMACY INC

NPI: 1609166198 · JACKSONVILLE, FL 32244 · Long Term Care Pharmacy · NPI assigned 04/18/2011

$28.50
Total Medicaid Paid
362
Total Claims
264
Beneficiary Records
6
Codes Billed
2022-04
First Month
2024-03
Last Month

Provider Details

Authorized OfficialEDARA, SUMANTH (PRESIDENT)
NPI Enumeration Date04/18/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 272 $28.50
2023 53 $0.00
2024 37 $0.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
0054A 78 54 $28.50
0124A 86 57 $0.00
90662 79 59 $0.00
91320 16 16 $0.00
G0008 Administration of influenza virus vaccine 82 61 $0.00
90480 21 17 $0.00