Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › CITY OF INDUSTRY › SNP PHARMACY LLC

SNP PHARMACY LLC

NPI: 1689789315 · CITY OF INDUSTRY, CA 91745 · 3336L0003X

$5K
Total Medicaid Paid
1,443
Total Claims
1,440
Beneficiaries
7
Codes Billed
2022-09
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 71 $0.00
2023 98 $170.80
2024 1,274 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 541 538 $2K
90677 228 228 $1K
91320 214 214 $1K
90480 276 276 $840.42
0134A 100 100 $128.00
0124A 69 69 $42.80
G0009 Admin pneumococcal vaccine 15 15 $35.02