Medicaid Provider Spending

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

NPI: 1669082517 · DENVER, CO 80231 · Community/Retail Pharmacy · NPI assigned 08/05/2020

$5K
Total Medicaid Paid
168
Total Claims
160
Beneficiaries
8
Codes Billed
2021-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNGUNJOH, FRU (PHARMACY MANAGER/OWNER)
NPI Enumeration Date08/05/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 17 $617.70
2022 87 $185.31
2024 64 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 28 26 $3K
90480 36 31 $1K
0031A 17 16 $617.70
0013A 21 21 $123.54
0071A 14 14 $61.77
0003A 20 20 $0.00
0002A 14 14 $0.00
0072A 18 18 $0.00