Medicaid Provider Spending

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

PALM RX PHARMACY LLC

NPI: 1629413737 · WINTER HAVEN, FL 33880 · Pharmacy · NPI assigned 05/02/2013

$344.45
Total Medicaid Paid
68
Total Claims
52
Beneficiaries
2
Codes Billed
2018-04
First Month
2018-06
Last Month

Provider Details

Authorized OfficialPATEL, ALPESH (OWNER)
NPI Enumeration Date05/02/2013

Related Entities

Other providers sharing the same authorized official: PATEL, ALPESH

ProviderCityStateTotal Paid
ALPESH PATEL DDS, INC BLOOMINGTON CA $1.80M
GEORGIA WEST IMAGING, PC ATLANTA GA $611K
EMINENCE URGENT CARE LLC PELHAM AL $176K
247 HEART AND VASCULAR SPECIALISTS PC PRINCETON NJ $35K
SHIV PHARMACY INC GASTONIA NC $2K
BENZER OH 10 LLC NEWARK OH $1K
VIGO HEALTH PHARMACY INC TERRE HAUTE IN $51.59
RX CARE FOUR LLC PALM BAY FL $0.00
MEDICAL CENTER PHARMACY LLC ZEPHYRHILLS FL $0.00
JANKI PHARMACY, INC CLAY CITY IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $344.45

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 53 40 $325.05
A4259 Lancets, per box of 100 15 12 $19.40