Medicaid Provider Spending

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

NPI: 1629116819 · TARZANA, CA 91356 · Community/Retail Pharmacy · NPI assigned 02/01/2007

$349.37
Total Medicaid Paid
176
Total Claims
176
Beneficiaries
5
Codes Billed
2023-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOCADAM, MICHAEL (PRESIDENT)
NPI Enumeration Date02/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 152 $349.37
2024 24 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91320 61 61 $264.82
90480 65 65 $84.55
91322 24 24 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00
90694 13 13 $0.00