Medicaid Provider Spending

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

NEW BARBEE PHARMACY LLC

NPI: 1609973544 · RAEFORD, NC 28376 · Pharmacy · NPI assigned 09/20/2006

$126.35
Total Medicaid Paid
48
Total Claims
30
Beneficiaries
2
Codes Billed
2018-10
First Month
2018-10
Last Month

Provider Details

Authorized OfficialGOTTIPATI, KALPANA (OWNER)
NPI Enumeration Date09/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48 $126.35

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 16 $126.35
90686 22 14 $0.00