Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › GU › TAMUNING › MARIANO PRIME LIMITED LIABILITY

MARIANO PRIME LIMITED LIABILITY

NPI: 1609912229 · TAMUNING, GU 96913 · Pharmacy · NPI assigned 01/30/2007

$5K
Total Medicaid Paid
504
Total Claims
484
Beneficiaries
3
Codes Billed
2019-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMARIANO, ARTHUR (OWNER)
NPI Enumeration Date01/30/2007

Related Entities

Other providers sharing the same authorized official: MARIANO, ARTHUR

ProviderCityStateTotal Paid
MARIANO PRIME LIMITED LIABILITY DEDEDO GU $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $97.20
2020 68 $592.20
2021 134 $1K
2022 87 $901.80
2023 163 $1K
2024 39 $372.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4211 Supplies for self-administered injections 453 434 $4K
A4206 Syringe with needle, sterile, 1 cc or less, each 36 36 $329.62
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 15 14 $199.68