Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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KALORAMA PHARMACY
NPI: 1649792581 · WASHINGTON, DC 20009 ·
Community/Retail Pharmacy
· NPI assigned 07/12/2017
$0.00
Total Medicaid Paid
91
Total Claims
91
Beneficiaries
5
Codes Billed
2021-12
First Month
2022-11
Last Month
Provider Details
Authorized Official
FADEL, WILLIAM
(CHAIRMAN)
NPI Enumeration Date
07/12/2017
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
16
$0.00
2022
75
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0013A
16
16
$0.00
0064A
14
14
$0.00
G0008
Administration of influenza virus vaccine
30
30
$0.00
0134A
14
14
$0.00
90694
17
17
$0.00