Medicaid Provider Spending

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

NPI: 1679023915 · IRVINGTON, NJ 07111 · Pharmacy · NPI assigned 10/11/2016

$0.00
Total Medicaid Paid
90
Total Claims
90
Beneficiaries
2
Codes Billed
2018-09
First Month
2018-10
Last Month

Provider Details

Authorized OfficialPARK LEE, SO YOUNG (OWNER, PIC, AO)
NPI Enumeration Date10/11/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 90 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 59 59 $0.00
90688 31 31 $0.00