Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MONICAL DRUG INC
NPI: 1609203058 · CIMARRON, KS 67835 ·
Long Term Care Pharmacy
· NPI assigned 10/01/2013
$0.00
Total Medicaid Paid
123
Total Claims
123
Beneficiaries
4
Codes Billed
2018-10
First Month
2020-10
Last Month
Provider Details
Authorized Official
MONICAL, MATTHEW
(OWNER)
NPI Enumeration Date
10/01/2013
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
28
$0.00
2019
64
$0.00
2020
31
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
G0008
Administration of influenza virus vaccine
44
44
$0.00
G0009
Administration of pneumococcal vaccine
25
25
$0.00
90662
41
41
$0.00
90670
13
13
$0.00