Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BERTHOUD DRUG, LLC
NPI: 1619072972 · BERTHOUD, CO 80513 ·
Pharmacy
· NPI assigned 09/13/2006
$0.00
Total Medicaid Paid
92
Total Claims
68
Beneficiaries
5
Codes Billed
2021-04
First Month
2022-10
Last Month
Provider Details
Authorized Official
JONES, JOSHUA
(OWNER)
NPI Enumeration Date
09/13/2006
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
12
$0.00
2022
80
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0124A
18
12
$0.00
91312
31
17
$0.00
90686
15
13
$0.00
91303
12
12
$0.00
G0008
Administration of influenza virus vaccine
16
14
$0.00