Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › RI › PROVIDENCE › LIFESPAN PHARMACY, LLC

LIFESPAN PHARMACY, LLC

NPI: 1629622634 · PROVIDENCE, RI 02905 · 332B00000X

$32K
Total Medicaid Paid
1,313
Total Claims
972
Beneficiaries
5
Codes Billed
2020-07
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 203 $5K
2021 710 $16K
2022 388 $11K
2023 12 $54.49

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q0512 Px sup fee anti-can sub pres 533 262 $12K
J7518 Mycophenolic acid 221 195 $10K
Q0511 Sup fee antiem,antica,immuno 346 320 $9K
J7507 Tacrolimus imme rel oral 1mg 89 77 $1K
J7512 Prednisone ir or dr oral 1mg 124 118 $13.00